Your Story – Carlita Talk

Share Your Story with Carlita

Your voice matters. Share your journey and inspire others in our community. We respect your privacy and will not share your information without your consent.

Full Name *

Email *

Phone

Country/Region

Address

City

Zip / Postal code

What is Your T-Shirt Size?

Profession or Role (Student, Parent, Therapist, etc.) *

Tell us a little about yourself

What would you like to share or talk about on Carlita Talk?

How did you hear about PPSV Charities or Carlita Talk?

What's one reason you love mental health advocacy?

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Video Upload (optional) [MP4 or MOV, Max 2 mins]

By submitting this form, I agree that:

Any materials I provide (including recordings, logos, photos, or written content) may be used by PPSV Charities for promotional, educational, and marketing purposes.
My participation in interviews, recordings, or appearances may be edited, reproduced, distributed, and shared on PPSV Charities' platforms, including but not limited to websites, social media, and promotional campaigns.
I release PPSV Charities from any claims related to the use of such materials.

Share Your Story

Share Your Story with Carlita

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