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CENTER FOR TRUTH AND HEALING: BBB PROGRAMS
We are thrilled that you are interested in joining our program provided by "Brains, Beauty, and Beyond" (for females) and "Brains, Brawns, and Beyond" (for males). These programs are designed to connect young individuals with mentors and resources that can guide and inspire them in various aspects of life, including academics, career development, and personal growth.

About Us: "Brains, Beauty, and Beyond" and "Brains, Brawns, and Beyond" are dedicated to fostering a supportive community where young minds can thrive. Our mentors are accomplished individuals who are passionate about helping you reach your full potential.

Registration Instructions: Please take a few moments to complete this registration form. Your responses will help us understand your background, interests, and goals, allowing us to match you with a mentor who aligns with your aspirations.

Confidentiality: Rest assured that all information provided will be treated with the utmost confidentiality. Your privacy is important to us.
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Email *
Parent/Guardian Information
Name *
Email *
Address *
Phone number *
Which event date are you registering for? *
Which program are you applying to? *
Are you applying for self or a child? *
What age group are you in? If applying for a child, please input the correct age group for the child. May select more than one checkbox if applying for multiple children. 
4-7 years old
8-12 years old
13-17 years old
18-25 years old
25-55 years old
Female
Male
How did you hear about our program? *
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