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Youth Registration 2026
Rachel Birkenthal
2026-08-18T13:10:37-07:00
Youth Registration – Models of Pride 2026
Youth - 2026 Models of Pride
Youth Registration - Models of Pride 2026
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)
*
(she/her/he/him/they/zir)
Race
*
Black/African American
Latinx / Hispanic
Asian Pacific Islander
Caucasian (Non-Hispanic)
Native American
Multi Racial
Other
If other race, please specify in box below:
Gender Identity
*
Cisgender Woman
Cisgender Man
Transgender Man
Transgender Woman
Gender Queer
Nonbinary
Other
If other gender identity, please specify in box below:
Sexual Orientation
*
Pansexual
Queer
Bisexual
Lesbian
Gay
Straight
Other
If other sexual orientation, please specify in box below:
(If none, please write N/A)
For grades K-12, what is the name of your school?
*
Do you have a GSA or LGBTQ+ group at your school?
*
Yes
No
N/A
GSA/Group Facilitator’s Name
GSA/Group Facilitator's Email Address
How did you hear about Models of Pride? (select all that apply)
*
Previously Participated
Family
Friends
My local LGBTQIA+ Center
Centerlink or Youthlink
My school
Facebook
Instagram
Other
If other, from whom/where?
What mode of transportation are you planning to take to get to Models of Pride?
*
Private Vehicle (Your own car/SUV/motorcycle/Etc.)
Private Carpool (Carpooling with friends in a private vehicle)
School Car or Van
School Bus
Public Transportation (Bus/Metro/Etc.)
Charter Bus
Walking
Other
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?
*
Workshops
Performances
Games and Activities
Resource & College Fair
To hang out with my friends
I'm not sure, it's my first time
By clicking "Yes" I agree to the Models of Pride Release of Liability.
Models of Pride 2026 Release of Liability
*
Yes
Release and Waiver of Liability
.
By clicking "Yes" I agree to the Los Angeles LGBT Center’s Terms of Service
Los Angeles LGBT Center Terms of Service
*
Yes
Los Angeles LGBT Center’s Terms of Service
By clicking "Yes" I agree to the LA LGBT Center’s Privacy Policy
Los Angeles LGBT Center Privacy Policy
Yes
Los Angeles LGBT Center’s Privacy Policy
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