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WYPT '26 Symposium Registration Form

Thank you registering for the WELL.YES LGBT+ Youth Symposium on Saturday, April 11, 2026 starting at 9:30AM hosted by the Mazzoni Center at 1348 Bainbridge Philadelphia, PA 19148!

  • Built for LGBTQIA+ young adults who want to grow, connect, and lead
     
  • A full-day leadership and wellness experience featuring:
    • Interactive workshops
    • Opening Ceremony + Lite Breakfast
    • Lunch & Learn Plenary
    • Recharge Row
    • Closing Ceremony
Questions with an asterisk (*) are the ONLY required questions. If you're interested in volunteering, click the link in the thank you message at the end.

Need support? Email Mx. Trinitee Wilson at trwilson@phmc.org or text/call 267.559.7104.

2. Do you have a chosen name? *This question is required.
4. Pronouns: *This question is required.
7. Which describes your race and ethnicity? Select all that apply. *This question is required.
8. Which best describes your gender identity? *This question is required.
9. Do you identify as transgender? *This question is required.
10. Which describes your sexual orientation? Select all that apply. *This question is required.
  • * This question is required.
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