KCCI Binder Program
You only need to fill out this form if you are not able to come by during our open hours on Fridays between 2-5pm. 

Reach out with questions. 816-310-7396.

Our binder program was created to help trans and nonbinary youth and adults in the KC area affordably and safely obtain a gender affirming binder. 

We ask that participants in this program only request a free binder if they are truly in need of one, as we have a very limited number of donated binders available.  We don't ask for any verification of need, but simply request your understanding. If you do not identify as Trans, non-binary, or someone who is questioning their gender, we ask that you please refrain from requesting a binder though our program.  

We accept donations of clean, gently used or new binders. We are not accepting clothing donations at this time. 
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Email *
Untitled Title
Phone Number *
We are open on Fridays between 2-5pm. You do not need to make an appointment. Simply arrive during our open hours. If you are not available during that time, please list your availability below and we will reach out for an appointment.  *
How do you prefer we contact you?  *
Required
Are you comfortable with KCCI staff or volunteers leaving a message for you at that number? If you live / share a phone with someone who does not know you are transgender, please let us know how we can best support your privacy and safety. *
Your Name (as you would like us to call you) *
Are you comfortable with us using that name for you in emails, text messages, and/or in person? (If you share a phone line with your parents, and they know you by a different name, let us know so we are careful to keep you safe. If your parent or ride to KCCI knows you by another name, let us know how to refer to you in their presence. We respect your identity, your name, and your safety!) *
Binder Size (If you aren't sure, it's okay to make your best guess. You can choose the size that works best when you visit KCCI in person.)
Clear selection
Which style of binder do you prefer?
Clear selection
If your choice is unavailable, would you prefer to wait or receive the other cut? *
Self-Identification
The information collected within this section helps us identify additional grants and sponsorship opportunities, and will not impact nor affect your status on our waiting list in any way. All questions are required, but also have an option “prefer not to disclose.”  Several questions allow for you to write what terms you feel best describes you.
Age *
What terms, labels, or identities do you use to describe your sexual orientation?  (lesbian, gay, bisexual, queer, asexual, straight, etc)  Please write as many or as few as you would like/need, or "prefer not to disclose." *
Do you identify as intersex? *
What terms, labels, or identities do you use to describe your ethnic background or racial identity?  Please write as many or as few as you would like/need, or "prefer not to disclose." *
Do you identify as a disabled person? *
Are you a veteran? *
Thank You!
By completing and submitting this application, you affirm that you identify as transgender, nonbinary, gender nonconforming (TGNC), or questioning and have no other way to safely obtain a binder due to your current living arrangements or financial status.  You also understand that the binder you receive may be gently used.

While there are a variety of valid reasons for folx of any identity to wear a chest binder, the free KCCI Binder Exchange program is intended to help TGNC and questioning folx in need.
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