Center Use Form

Center Use Form

The information below MUST BE completed and submitted to Stonewall after each meeting.

Name of Group:*
Facilitator's Name:*
Date*
MM slash DD slash YYYY
Start Time:

: Hours

Minutes

AM/PM
End Time:

: Hours

Minutes

AM/PM
Total # People in Attendance:*
# People of Color:
# Trans People:
# GNC:
# Women:
# Men:

11577

Questions? Contact info@stonewallcolumbus.org.