you are not ugly foundation LAUNCH PROJECT
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Full Name *
Instagram handle *
Can we tag your Instagram handle in our social media post? *
What is one negative label that you have overcome or are trying to overcome? *
What is a piece of advice that you would tell your younger self/others to help overcome society's labels? *
Please submit a headshot/photo of yourself that you feel comfortable having posted on the @youarenotuglyfoundation Instagram page. You can submit this photo by dm’ing it to the @youarenotuglyfoundation IG page or to @saniyakaushal. You can also email your photo to After completing this step, please indicate how you have submitted your photo. Please note that participants who do not complete this step of the form will be ineligible to receive a free self-care package. *
Authorization, Release, and Consent *
Please provide a virtual signature below by writing your full name and the date to represent your agreement with the terms listed above. *
If under 19 years old, please provide virtual signatures below by writing your full name and having your parent/legal guardian provide their full name and date to represent yours and their agreement with the terms listed above. If not applicable, please write N/A *
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