This event is currently full. However you can register now and get added to a waiting list. You will be notified if spaces become available. Registration is limited to first 10 people. You must be Queer and Middle Eastern/North African. Account If you would like to create an account on this site, check the box below and enter a Username. If you already have an account please login before completing this form. Create an account? Username Check Availability Punctuation is not allowed in a Username with the exception of periods, hyphens and underscores. Registration Information First Name * Middle Name Last Name * Email Address * Phone Birth Date * Demographics Information (Required) Do you identify as Middle Eastern and/or North African? * Yes No Gender Identity * Male Female Transgender Genderfluid Genderqueer Gender Nonconforming Intersex Other Sexual Orientation * Gay Straight Queer Lesbian Bisexual Other Ethnicity / Race * Middle Eastern North African Asian African American Pacific Islander East Asian Arab Latino European Armenian Chaldean Assyrian White Persian South Asian Iraqi Kurdish Berber Kuwaiti Saudi Arabian Yemeni Jewish Algerian Egyptian Lebanese Syrian Jordanian Emirati Bahraini Omani Qatari Turkish Black West Indian Palestinian Druze Tunisian Nubian Sudanese Iranian Moroccan Jewish (Sephardi) Jewish (Ashkenazi) Jewish (Mizrahi) Jewish (Other) Religious Identity or Affiliation * Prefer Not To Answer Muslim (Sunni) Muslim (Shia) Muslim (Ahmadiyya) Muslim (Sufi) Muslim (Non-Denominational) Christian (Non-Denominational) Christian - Catholic (Chaldean) Christian - Catholic (Syriac) Christian - Catholic (Maronite) Christian - Coptic Christian - Catholic Druze Atheist Agnostic Jewish Yazidi Muslim (Ismaili) None Muslim (Other) Other Christian - Orthodox Register
