GCAPP's SHARE Program Registration

(Sexual Health for Adolescents Rooted in Equity)

INclued Workshop

Thank you for registering for GCAPP's INclued Workshop!

INclued is a 3-hour comprehensive sex education program made just for LGBTQ+ youth (ages 14-24) and youth allies. To ensure anonymity and a safe space, we ask that only individuals in the age-range to register.

Please complete the registration form below so that we know how many people plan to attend our workshop.

To better service our communities, GCAPP collects the following demographic information. Your decision to share personal information is entirely voluntary; if you choose not to share there will be no penalty or consequences and you will still have full access to GCAPP's services and resources.

All information you share is kept confidential to the full extent allowed by law. All data is secured within GCAPP’s database accessible only to GCAPP’s Senior Leadership Team.

Please select which INclued Workshop you plan to attend

First Name

Last Name

Do you have any food allergies or dietary restrictions?

YesNo

Please Describe

Contact Information

Phone #

Please Select the Attributes that Describe you

Youth (14-17)

Young Adult (18-24)

Youth/Young Adult Participant Information

Grade

Demographic Information

Race

Race Not Listed

Are you hispanic, latino, or latinx?

Gender

Gender Not Listed

Personal Pronoun

Pronoun Not Listed

Sexual Orientation

Orientation Not Listed

County of Residence

Your Consent

Please read this entire message and select 'YES' to indicate that you understand the above and agree to participate in this program.

We invite your child to participate in the INclued Workshop. This program empowers young people to be safe and make healthy life choices. We also seek to reduce teen pregnancy and STD rates while promoting responsible adolescence.

Confidentiality: No information collected about your child will be shared in materials or reports produced about the program. We will keep all personal information about your child confidential. Also, our staff are mandated reporters and must report any information about a youth that is of a concerning nature.

Risks: Your child's participation in this program poses few, if any, risks to them. Your child's participation is entirely voluntary. Your child may end participation at any time and for any reason. If your child withdraws from the program, it will have no impact on any services.

Time Commitment: Your child will spend a total of three (3) hours in the INclued workshop. Attendance information will be collected and certain class sessions may be observed for quality. Your child may be invited to discuss their experience in the program along with other youth.

Allergies: Please share any food or materials allergies that your child has. GCAPP is not responsible for any allergic reactions to food or materials ingested or handled during while participating (when safe, in-person) in this program.

Benefits: Your child will receive a token of appreciation for time spent participating.

Contact information: If you or your child has any concerns about participation in this program, please contact Shay Ross, Project Manager, at Quashavis@gcapp.org.

Please select 'YES' to indicate that you understand the above and agree that your child can participate in this program.

INclued is a 3-hour comprehensive sex education program made just for LGBTQ+ youth (ages 14-24). To ensure anonymity and a safe space, we ask that only individuals in the age-range to register. Please confirm that you acknowledge and understand this statement below.

I understand and acknowledge the statement above. I do not understand/acknowledge the statement above.

Contact Information