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5/21 Southern CA Info Session
Tuesday, 5/21/2024
6:00 - 7:30 pm PT
Registrant Information
Name
*
First Name
Last Name
Identify as
*
select one
Heterosexual
LGBTQ+
Non-Binary
Trans Female
Trans Male
Other
Prefer not to state
Email
*
Verify Email
*
Your phone number
*
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Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
County
*
applicable in CA
select one
--NOT IN CA
Alameda
Alpine
Amador
Butte
Calaveras
Colusa
Contra Costa
Del Norte
El Dorado
Fresno
Glenn
Humboldt
Imperial
Inyo
Kern
Kings
Lake
Lassen
Los Angeles
Madera
Marin
Mariposa
Mendocino
Merced
Modoc
Mono
Monterey
Napa
Nevada
Orange
Placer
Plumas
Riverside
Sacramento
San Benito
San Bernardino
San Diego
San Francisco
San Joaquin
San Luis Obispo
San Mateo
Santa Barbara
Santa Clara
Santa Cruz
Shasta
Sierra
Siskiyou
Solano
Sonoma
Stanislaus
Sutter
Tehama
Trinity
Tulare
Tuolumne
Ventura
Yolo
Yuba
Level of interest
*
select one
Fostering
Fostering/Adoption
How did you hear about this event?
*
select one
Facebook
Instagram
Internet search
Mailer
Outdoor Advertising
- LAist 89.3 FM Southern CA
- KCRW 89.9 FM - Southern CA
Pride Event
TV - KTLA Channel 5
Word of Mouth
Spouse/partner Contact Information
Name
First Name
Last Name
Email
Verify Email