KYSE Nomination Form 2019
Kiss Your Self Esteem: A Weekend Retreat of Restoration for Women After a Life-Altering Event
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Nominee Name *
 (First, Middle Initial, Last)
Your Name *
 (First, Middle Initial, Last)
Why do you feel this person should participate in KYSE? *
Please define the life circumstance and why they would like to participate
Today's Date *
Your Contact Telephone *
Your E-mail Address *
The trip must be taken February 6th - February 15th (some time in this window) .
Will your nominee be available?
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