Take the Pledge | Jax Leaders & Allies

Welcome Here Decal Application

By completing this form, you pledge on behalf of your organization/ company to:

Commit to creating a safe space for LGBTQIA+ people.
Place the Welcome Here decal ideally near the building's front/public entrance.
Respect the names and pronouns people share.
Provide services without discrimination based on sexual orientation, gender identity, or gender expression.
Seek to prevent harassment or discrimination within its space.
Hold myself and employees accountable for our collective responsibility to allow LGBTQIA+ people to feel Welcome Here.

"We pledge to welcome and respect LGBTQIA people, honor the names and pronouns they share, provide services without discrimination, and continue working toward a space where everyone can feel seen, valued, and safe."

I accept the above pledge.

Contact Person Name

Contact Person Phone Number

For internal JLA correspondence only.

Contact Person Email

For internal JLA correspondence only.

Organization Information

How does your organization or business operate?

Check all that apply.

Organization/Company Name

Organization/ Company Website

Public-Facing Location Address

How would you like to receive your Welcome Here materials?

Digital badge

Physical decal

Both

Where should we mail your physical decal?

Leave blank if you request a digital badge only.

Would you like your organization or business included in the public Welcome Here directory?

Yes

Yes, but please contact me before publishing

No, I’d prefer not to be publicly listed

Restrooms

What types of restrooms are available at this location?

Check all that apply.

Do the single-user restrooms lock from the inside?

Yes

No

Not applicable

Are changing tables available?

Check all that apply.

Optional Questions

Some JLA participating organizations also offer education and training to those interested. Would you be interested in participating in one of these types of trainings? Is there a particular topic you would be interested in learning more?

(Please note: Training classes are not a requirement to receive the Welcome Here Decal or Badge)

Are you interested in possible participation in a photo opportunity with a featured JLA member?

Yes

No

(Please note: Participation in a photo opportunity is not a requirement to receive the Welcome Here Decal or Badge)

Would you like any of the following identities highlighted in the directory?

If applicable, check those you’d like publicly displayed.

Signature

Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.

Does your business welcome LGBTQ people? Make it official →

Welcome Here Decal Application

​"We pledge to welcome and respect LGBTQIA people, honor the names and pronouns they share, provide services without discrimination, and continue working toward a space where everyone can feel seen, valued, and safe."

Organization Information

Restrooms

Optional Questions

"We pledge to welcome and respect LGBTQIA people, honor the names and pronouns they share, provide services without discrimination, and continue working toward a space where everyone can feel seen, valued, and safe."