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Magic City Acceptance Center

Speak Out Discord Survey

Hi there! We're excited to have you in our Speak Out Discord server! You should fill out this form if you're 21+, live in Alabama, LGBTQ+, and looking to get involved in a fun and supportive virtual community!  The questions you answer here are confidential, they just help us confirm eligibility and let us know who you are and where you're from so we can celebrate our big, beautiful community. We're glad you're here!
9Questions
  • 1
    Give us the full name you go by, not necessarily your legal name.
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  • 2
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  • 3
    Check anything that applies, and feel free to write in if you don't see what you're looking for.
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  • 4
    -
    Pick a Date
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  • 5
    Please Select
    • Please Select
    • Autauga County
    • Baldwin County
    • Barbour County
    • Bibb County
    • Blount County
    • Bullock County
    • Butler County
    • Calhoun County
    • Chambers County
    • Cherokee County
    • Chilton County
    • Choctaw County
    • Clarke County
    • Clay County
    • Cleburne County
    • Coffee County
    • Colbert County
    • Conecuh County
    • Coosa County
    • Covington County
    • Crenshaw County
    • Cullman County
    • Dale County
    • Dallas County
    • DeKalb County
    • Elmore County
    • Escambia County
    • Etowah County
    • Fayette County
    • Franklin County
    • Geneva County
    • Greene County
    • Hale County
    • Henry County
    • Houston County
    • Jackson County
    • Jefferson County
    • Lamar County
    • Lauderdale County
    • Lawrence County
    • Lee County
    • Limestone County
    • Lowndes County
    • Macon County
    • Madison County
    • Marengo County
    • Marion County
    • Marshall County
    • Mobile County
    • Monroe County
    • Montgomery County
    • Morgan County
    • Perry County
    • Pickens County
    • Pike County
    • Randolph County
    • Russell County
    • St. Clair County
    • Shelby County
    • Sumter County
    • Talladega County
    • Tallapoosa County
    • Tuscaloosa County
    • Walker County
    • Washington County
    • Wilcox County
    • Winston County
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  • 6
    Check all that apply, feel free to add identities that are not listed or language that better represents how you identify.
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  • 7
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  • 8
    Go off! Help us make the server what you want it to be.
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  • 9
    If you don't already have an account, visit https://discord.com/register or download the Discord app to create one.
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