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Let's Talk Registration
My Body, My Business
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Email
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Today's Date
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Your Name
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Your Phone
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Your Birthdate
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Parents Name
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Parents Phone
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Parents Email
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Address, City, State, Zip code
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School Name and Grade
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Can you commit to all 8 sessions?
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Do you have reliable transportation to and from the program?
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What is your T-shirt size?
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How confident do you feel about yourself and your body image?
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What do you consider the best part of yourself, and why?
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Think of an animal that you relate to. Why do you feel a connection to that particular animal?
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Why are you interested in joining the "Let's Talk My Body, My Business" program?
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What topics related to body positivity, self-esteem, and personal development would you like the program to cover?
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How did you hear about this program?
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Are you able to pay the $25 Application Fee?
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