Testimonial form under 18

Please provide your contact information.

First Name(Required)

Last Name(Required)

Email(Required)

Phone Number(Required)

Where are you from? (home province/territory)

Where was the program session held?

Program

Testimonial(Required)

Upload a crisp, in-focus portrait photo of you (head and shoulders)

Max. file size: 256 MB.

Can we share your testimonial?

Have your parent or legal guardian fill out and sign the Release form and upload it below.

Release Form Upload

Max. file size: 256 MB.

By clicking SEND, I hereby confirm that I am under 18 years of age and consent to my parent’s or guardian’s signature in the uploaded Release form.

Release form to be completed