CCCD LGBTQ+ Lavender Celebration 2026

Select which applies to you:

Current Student

College Employee

Family/Community Member/Supporter

Student Information:

First Name:

Preferred Name:
Do you use a name other than your given/legal name?

Pronouns:

Last Name:

Student Email Address:

Personal Email Address:

Contact Number:

Student ID Number:

Primary College:

College Employee Information:

First Name:

Last Name:

Pronouns:

Email:

Contact Number:

College:

Family/Community Member/Supporter Information:

First Name:

Last Name:

Pronouns:

Email:

Contact Number:

Please select the options that represents you:

Participant Type

Are you a graduating student being recognized at the Lavender Celebration?

Yes, I am a graduating student

No, I am attending as a guest/supporter

Lavender Stole Request

Will you be receiving a Lavender Graduation Stole at the event?

Yes, I would like to receive a Lavender stole

No, I will not need a stole

How would you like to receive your stole?

Pick-up at Coastline College - Student Services Building

Pick-up at Golden West College - Multicultural Center

Pick-up at Orange Coast College - Rainbow Cove

Pick-up during the Lavender Celebration Ceremony

Have my stole delivered

Delivery Address
Please provide the mailing address where you would like your stole delivered.

Country

Street

City

Region

Postal Code

Name for Recognition

Affirmed Name for Recognition
Please enter the name you would like used for your certificate and projected on screen during the Lavender Celebration.

Name Pronunciation (Phonetics)
Please write the phonetic pronunciation of your name to help with announcements.
Example: Maw Karly Simon → MAO CAR-lee SEE-mon

Pronouns
Please share your pronouns if you would like them included during recognition.

Speaker Interest

Would you be interested in speaking at the Lavender Celebration?

Yes, I am interested in speaking

No, I am not interested in speaking

Who are you coming with?
(Only if you are coming/supporting a graduate; if not, please put N/A)

Thank you for supporting one of our celebrants.

Your presence helps honor the achievements, resilience, and journeys of our LGBTQIA2S+ graduates. We appreciate you being part of this important moment as we celebrate their accomplishments and the community that helped them reach this milestone.

Attendance Format

How will you be attending the Lavender Celebration?

I will attend in person (SSC 109)

I will attend online (Zoom)

Zoom Attendance Instructions

Thank you for joining the Lavender Celebration online. The Zoom meeting link and access information will be sent to the email address you provide in this registration form prior to the event.

Please make sure your email address is correct so you receive the event access details.

If you do not see the Zoom link in your email, please check your spam or junk folder. You may also add the event to your calendar using this link - College Events Zoom .

Accessibility / Accommodation Needs

Please provide the contact information for someone we can reach in case of an emergency during the event.

Do you require any accessibility accommodations to fully participate in this event?

No accommodations needed

Yes (please describe below)

If yes, please describe the accommodations you need.
Please be as specific as possible so we can prepare ahead of time.

Dietary Restrictions / Food Allergies

To help us plan catering for the Lavender Celebration, please let us know if you have any dietary restrictions or food allergies.

Do you have any dietary restrictions or food allergies we should be aware of?

No dietary restrictions or food allergies

Yes (please describe below)

If yes, please describe your dietary restrictions or food allergies.
Please be as specific as possible so we can plan accordingly.

Emergency Contact Information

Please provide the contact information for someone we can reach in case of an emergency during the event.

Emergency Contact Name:

Relationship to Participant:

Emergency Contact Phone Number:

Photo and Video Release Consent

Photos and videos may be taken during the Lavender Celebration and used by Coastline College for promotional, educational, or other college-related purposes. By consenting, you acknowledge that you may be photographed or recorded, release the college from any claims related to the use of these images or recordings, and waive any rights to compensation.

I DO consent to being photographed or recorded and allow the college to use these images or videos.

I DO NOT consent to being photographed or recorded.

Additional Information:

How did you hear about this event?
Please check all that apply.

If other, please specify: