#ItsOKToTell Day 2024 Participation Giveaway form and survey.
 #ItsOKToTell day is a national day celebrated on March 16th, created by PLL to encourage open communication between parents and children to help prevent child molestation and abuse. This is the third year in our tablet giveaway! 
Two families will be selected to receive one of two Amazon Fire kid's tablets along with age appropriate children's books and other PLL merchandise. All you have to do is fill out this survey and answer the question "How can parents and their children maintain open communication between each other and reassure their children that it's ok to tell?"  
To participate in our #ItsOKToTell Day Giveaway, please fill out and submit the form below. The deadline is March 16 2024 at 11:59 pm. Recipients will be announced via email.
 
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How your information will be used.
Thank you for answering the questions in this form. We keep your name and demographic information for the purpose of assisting you and providing services to your specific needs. Any other information gathered will be used to improve and develop services to help empower and protect other women and children.  We will not share your email address or other information to third parties except in the case of an affiliate or referred resource to help you and your family at which point you will receive a form to allow consent. Filling out this form automatically adds you to our database to receive updates on opportunities, information and events from Precious Little Ladies Inc. and Aziza Kibibi LLC.

Have you participated in any of PLL's past giveaways? Your answer has no bearing on your current participation.
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Today's Date *
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First Name *
Last Name *
Phone number
Shipping Address *
City *
State *
Zip Code *
Resident Address if different from shipping
City
State
Zip Code
Are you a survivor of domestic violence, sexual abuse or sexual assault? *
If yes, are you safe and away from the abuser?
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If no, do you have a plan of action to protect yourself?
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Are you living in a Domestic Violence Shelter? *
Are you receiving any other assistance from other programs? *
Are you a parent? *
If yes, how many children do you have?
Please list child (ren) age(s) and sex(es) below.  
What are your immediate needs? *
Please briefly share what type of assistance you think you need. Example: food, funds, diapers, clothing, emotional support, legal,  shelter...
Have you been negatively affected by the COVID19 pandemic *
If yes, please share briefly, the struggles you face pertaining to COVID19
Please write a short essay answering the question "How can parents and their children maintain open communication between each other and reassure their children that it's ok to tell?" We encourage you to include your children in developing this answer. *
How did you hear about Precious Little Ladies Inc.? *
If other please describe.
Giveaway rules *
Recipients of Kindles are selected based on completeness of this form, the efficacy of your answer to the question "How can you and your children maintain open communication between each other?" and "How can you ensure them that it's ok to tell?". Your answer will also be included in PLL's #ItsOKToTell Day campaign 2024. Check the box below to acknowledge that you've read and agree to this statement.
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Use of name. *
Please check the box below if you agree to allow your first name to be used in association with the Kindle recipient announcement. I.E.: "Sam and family". If you prefer for us not to use your name, please select "opt out" and an announcement will be made using only your state, if you're a mom or dad and your answer  to the questions in the giveaway rules which may be edited.
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Future surveys *
Please check the box below if you are interested in participating in future surveys to help with PLL's research in putting an end to child sexual abuse and gender based violence.  
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Hold Harmless Agreement *
Checking the box below means that you acknowledges that any products and services your receive from Precious Little Ladies Inc  (PLL) and it's partners and affiliates is of your own free will. It is our mission to provide you with services to empower and help yourself. "Girl We've Got You Covered!" bags contain health and beauty products that included but are not limited to makeup (foundation, concealer, blush, lip gloss etc), lotions, body wash, soap and other products used for hygiene and self care. Since these items are being donated it is up to the recipients to read all labels to ensure they are not allergic to any ingredients in the products. By checking the box below you agree to absolve Precious Little Ladies Inc. and it 's partners and affiliates from any responsibility of harm and/or damage that could arise after accepting our services, products, and/or referrals.
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Please check below to agree. *
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