Name *

We ask for your first and last name for security & identify verification

First Name

Last Name

Pronouns *

She/ Her

He/ Him

They/ Them

Other (please specify in the section below)

Birthday *

MM

DD

YYYY

Please select the ethnicity/ ethnicities you most identify with: *

Aboriginal

African American

Afro-Caribbean

Afro-Latino/ Latina/ Latinx

Arab

Asian

Asian American

Black African

Black British

Euroasian

Hispanic

Indigenous

Jewish

Latino/ Latina/ Latinx

Mixed/ Multiracial

Mixed Asian

Mixed Black

Middle Eastern / North African (MENA)

Native

Pacific Islander

Soulaan

South Asian

Southeast Asian

White / Caucasian

Prefer to self-describe (please specify below)

Prefer not to say

Do you identify as LGBTQIA2S+? *

Yes

No

Prefer not to say

Do you identify as neurodiverse? *

Yes

No

Prefer not to say

Do you identify as having a physical disability? *

Yes

No

Prefer not to say

Do you identify as an ally to BIPOC and the LGBTQ+ community? *

Yes

No

Phone Number *

What phone number can we use to contact you directly?

Country

(###)

###

####

Mailing Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Are you interested in staying at one of the soft(spaces) residences? *

Yes

No

Were you referred to soft(spaces) by a current member? *

Yes

No

Air, Earth, Fire or Water? *

Air

Earth

Fire

Water

All of the above

None of the above

The Beach, Brunch, Game Night or a Book Club? *

The Beach

Brunch

Game Night

Book Club

All of the above

None of the above