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Totally Outright Program Intake Form

Totally Outright Description

So. You ready to get Totally Outright?

The Totally Outright Program is a free educational and capacity building program for all identifying as part of the 2SLGBTQ+ Community! By diving into topics like Sexual Health, Social Equity, and Online Dating and Hookup Culture, Totally Outright advocates for skill-building and knowledge-broadening to help you navigate your wellbeing!

Please contact Lead Coordinator Winson Wong for further details.

Phone Number: (905) 867-6379
1.Are you 18+ and of age of majority?(Required.)
2.What is your first and last name? (Anonyms Allowed)(Required.)
3.What is the age range most applicable to you?
4.What are your pronouns?
5.Which gender identity or gender expression best describes you?
6.Do you identify with an Indigenous Background?
7.What is your email address? (For Contact)(Required.)
8.What is your primary phone number? (For Contact - Call and Text)(Required.)
9.Do you have any accessibility requirements? (If Yes: Please Indicate)
10.What inspired you to join the Totally Outright Program?(Required.)
11.Would you be willing to engage in knowledge-building topics involving sexual health, decision making, and self-confidance?(Required.)
12.Please select the preferred coordinator of primary contact...
13.How did you hear about the Totally Outright Program?(Required.)