Trans Wellness Center Membership Form

Trans Wellness Center Registration

December 5th, 2024






          
 
I agree to grant to the L.A. LGBT Center and its authorized representatives permission to record on photography, film and/or video, pictures of my participation. I further agree that any or all the material photographed may be used, in any form, as part of any future print and/or online publications or materials used to promote the L.A. LGBT Center, and further that such use shall be without payment of fees, royalties, special credit or other compensation.
By agreeing to this contract, I will abide by the Behavioral Agreement rules for the safety and well-being of myself and others.