emP.O.W.E.R.ed SC Interest Form

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Thank you for your interest in emP.O.W.E.R.ed SC initiatives. Please complete the form below to let us know what you are interested in learning more about. Select all that apply and a Fact Forward staff member will follow up.

Email *

Full Name *

Best contact information *

Are you interested in talking to your young person about love, sex, and relationships? We have opportunities available to help you prepare for the conversation. Select all that apply: *

Community Ambassadors

Media Aware Parent

Let's Talk Parties

Community sponsorship

Required

Sign your child up to participate in one of our youth initiatives: *

Peer Ambassador

Emerging Leaders

Media Aware High School

Social Media Ambassador

Facebook: https://www.facebook.com/emPOWERed.SC.FF
Instagram:https://www.instagram.com/empowered.sc/

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