GOOD MOM interview series

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PLEASE NOTE this form has two sections to complete and no interview will be confirmed prior to receiving your completed registration form, and photo.
All data is private, and will only be used for the successful completion of your interview and its publication, and to establish the possibilities for future collaborations.
Please e-mail me with any questions or problems Estie@HealthyFamilyandMe.com

Name *

Surname *

Your Website (no problem if you don't have a blog yet)

What is your favorite parenting topic? *

Please write a 30-50 word bio to be published with your interview. *

Please send a clear headshot photo of yourself to be published with your interview to Estie@HealthyFamilyandMe.com *

I emailed my photo

Required

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