Skip to content
504.252.9025
|
info@youthbreakout.org
Facebook
Instagram
Twitter
Ending the criminalization of LGBTQ youth in New Orleans, LA
About Us
Who We Are
Vision, Mission & History
Our Space
Our Supporters
Annual Reports
Our Work
Programs
Campaigns
Trainings & Workshops
Get Involved
Become a Member
Volunteer
Donate
Resources
News
Donate Now
Shop
Request Workshops
breakout
2016-11-12T17:58:58+00:00
REQUEST A WORKSHOP
Please allow 2 weeks for BreakOUT! staff to contact you to discuss your request. While we do our best to honor each request, BreakOUT! cannot guarantee that we will be available to provide each workshop.
* Required
Name of Your Organization or Group
Your answer
Contact Name
Your answer
Phone Number
Your answer
Email
Your answer
I'm interested in a...
*
Workshop for youth ages 7-13
Workshop for youth ages 14+
Other:
I'd like to explore...
Workshops are usually 1-3 hours and tailored to your interests or organizational needs. Please understand that if you choose more than 1 topic, you will get a broad overview of the subjects as we won't be able to fit all of the material into one workshop. Don't see what you're looking for? Send us an email!
Criminalization of LGBTQ Youth of Color
Gender Justice, Gender 101
School-to-Prison Pipeline…Queered!
Prison Industrial Complex and Race, Class, & Gender
History of LGBTQ Policing
Vice to ICE: Immigration Justice & LGBTQ Liberation
Get Yr Rights (BreakOUT!'s Know Your Rights with the police and street safety workshop.) *FREE*
How many people do you expect to attend this workshop?
5-10
10-24
25+
Location of Workshop
(We are only able to offer workshops in the Greater New Orleans area at this time. However, our space is available for some workshops and can accommodate approximately 20 people.)
Your answer
Scheduling Preference
Please choose your first option. We will do our best to accommodate your schedule!
MM
/
DD
/
YYYY
Time
:
AM
PM
Alternate 1
Please choose an alternative date/ time.
MM
/
DD
/
YYYY
Time
:
AM
PM
Alternate 2
Please choose another alternative date/ time.
MM
/
DD
/
YYYY
Time
:
AM
PM
Tell us a little more about yourself or your group.
Anything else you'd like us to know, including how you plan to use material or themes from the workshop with your group.
Your answer
Our organizational budget is...
Workshops are sliding scale for organizations, depending on budget and capacity, generally between $150 - $500 per workshop. Get Yr Rights (our Know Your Rights & Street Safety workshops) and workshops at schools are always free of charge!
Less than $100,000/ year
$100,000 - $300,000/ year
$300,000 - $500,000/ year
$500,000 - $700,000/ year
$700,000 - $1,000,000/ year
Over $1,000,000/ year
Submit
Never submit passwords through Google Forms.
Forms
This form was created inside of BreakOUT!.
Terms of Service
https://www.gstatic.com/_/freebird/_/js/k=freebird.v.en.eGg6EjrnpiI.O/rt=j/d=1/rs=AMjVe6i8mbqHxuA8C7_ICcjSXLrJKNQwQQ/m=viewer_base
Toggle Sliding Bar Area