Question Title

* 1. Name & Email Address

Question Title

* 2. By signing this form, I am consenting to my submitted testimonial as well as images of myself that I have either (a) submitted directly to LGRAAMH or (b) have been posted publicly, by myself or with my direct permission, being reposted by both LGRAAMH directly and third parties. This includes individual Universities/Universities social media accounts, individual's social media accounts, team social media accounts at any level (University [including NCAA, NAIA, and the like], High School, Prep, Professional, Semi-professional, etc), along with other Mental health charity or non-profit pages. 

By selecting 'Agree', I am implying my full compliance to this form.

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