Discord Invite Link Request
Hey y'all! Super excited for you to join the Discord server! To receive the invite link, fill out the below information, and a staff member will be in touch.
Youth Information
First Name
Last Name
Date of Birth
Our Discord server is open for youth ages 13-24
What city do you currently live in?
What state do you currently live in?
Please select...
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
IllinoisIndiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
MontanaNebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
PennsylvaniaRhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Legal Name (If different than above, for internal use only)
What is your Discord username?
What is your email?
Please make sure this is an email you check regularly. A staff member will send you an email to join!
I'd like to receive text updates on
one•n•ten
programs.
Yes
No
You can opt out at any time. This is the only way to receive addresses for in-person programs.
Phone Number
General Info
Have you attended a one•n•ten program before?
Yes
No
If so, which group(s) have you attended?
Please select...
Anthem Satellite
Camp OUTdoors
Chandler Satellite
Flagstaff Satellite
Glendale Satellite
Mesa Satellite
Phoenix Youth Center
Prescott Satellite
Queen Creek Satellite
Scottsdale Satellite
Trans & Gender Non-Conforming Group
Trans & Non-Binary Retreat
Yuma Satellite
Zoom Group
Other
Other
How did you hear about
one•n•ten's Discord server?
Instagram
Friend
Current one•n•ten youth
one•n•ten Program
New Youth Meetings
Other
Current one•n•ten youth's name
Other
Anything else you'd like us to know?
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Contact Information