The Connection · Let's Connect!

Name

*

First Name

Last Name

Date of Birth

*

must be 18 to receive certain services at The Connection

Email

*

Verify Email

*

Cell Phone

Gender Identity

What do you best identify with?

Female

Male

Non-binary

Other

Prefer not to say

Ethnicity

What race and/or ethnicity do you consider yourself to be? Select all that apply.

American Indian or Alaska Native

Native Hawaiian or Other Pacific Islander

Hispanic or Latino Native

Black or African American

White or Caucasian

Asian

Other

Have a specific question or need? Let us know!

Communication Preferences

Keep the conversation going! Tell us what you would like to hear from The Connection (select as many as you like):

Weekly schedule of events at The Connection

Special events at The Connection

Volunteer opportunities at The Connection

Charitable giving to The Connection

Periodic Newsletter from Recovery Community Foundation of Forsyth