Power To Choose Intake Form

Thank you for your interest in the Power to Choose program.

It is a unique Attitudinal Healing Innovation that is geared for youth. Founded on the philosophy of the Principles of Attitudinal Healing, the program aims to tap into the inner potential of youth in order to create leaders that make healthy and positive choices in their everyday life.

Youth will be equipped array of tools to enhance their decision making a process, uplift their self-esteem, cultivate their leadership, and empower them to be agents of change.

Please fill out and submit the form below, and someone will be in contact with you shortly.
Note: it is important to provide at least one form of contact information.

Power To Choose Intake Form

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