Youth Registration – Models of Pride 2025

Youth Registration - Models of Pride 2025

First Name *

Last Name *

Email Address *

Cell Phone

Birth Date *

Current City of Residence *

Current Zip Code *

Pronouns (she/her/he/him/they/zir/any) *

Race *

If other race, please specify in box below:

Other gender identity:

If other sexual orientation, please specify in box below:

For grades K-12, what is the name of your school? (Type N/A if none) *

Do you have a GSA or LGBTQ+ group at your school? *

Yes

No

GSA/Group Facilitator’s Name

GSA/Group Facilitator's Email Address

If other, from whom/where?

What mode of transportation are you planning to take to get to Models of Pride? *

If other mode of transportation, please specify in box below:

Do you need any of the following accommodations?

ASL interpreting (provide specifics in area below)

Wheelchair access/reserved seating

Accommodations details:

Dietary Restrictions

Vegan

Gluten-Free

If any, what is your chaperone’s name?

Emergency Contact Name *

Emergency Contact Phone Number *

What are you looking forward to most this year at Models of Pride? *

By clicking "Yes" I agree to the Models of Pride Release and Waiver of Liability. *

Yes

Yes

By clicking "Yes" I agree to the Los Angeles LGBT Center’s Privacy Policy. *

Yes

Youth - 2025 Models of Pride