Register (Group) - Iowa Pride Network

Register Your Organization

Once you've registered your organization, you will receive news updates, information about events, and other material.

Also, you will be able to network with other LGBT students from across Iowa. (This form is for organizations, if you would like to register yourself as an individual, please go here.)

Group Information

Group Name:	(required)
Group E-mail:	(required)
Group School:
Group Website:
Group Phone:
Group Address:
City:
State:
Zip:

Tell us about how and when your GSA got started:
Tell us how Iowa Pride Network can help your GSA:
Other comments:

Student Contact Information:

Student Name:	(required)
Student E-mail:	(required)
Grade Level:

Home Phone:
Mobile Phone:
School Phone:

Home Address:
City:
State:
Zip:

School Address:
City:
State:
Zip:


Advisor Contact Information:

Advisor Name:	(required)
Advisor E-mail:	(required)

Home Phone:
Mobile Phone:
School Phone:

Home Address:
City:
State:
Zip:

School Address:
City:
State:
Zip: