Keep Smiling Movement HOPE is DOPE

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We are looking forward to reading and sharing your story. Please note the word count and add the information so that your answers tell a story. Your submission means you grant us permission to edit, print, and publish it.
We are looking forward to reading and sharing your story. Please note the word count and add the information so that your answers tell a story. Your submission means you grant us permission to edit, print, and publish it.
Leave A Legacy:

Create Your Story
Full Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
The most inspiring person you ever met and how it impacted your life.*
The most inspiring thing you have done and how it made a difference for someone else, or a community or the world.*
The biggest epiphany you would like to share that shifted you into Goodness.*
The coolest life lesson you believe is attributed to your success in living a life you love.*
Share books, movies, music, quotes, and heroes you think are DOPE and would inspire someone reading your chapter to think bigger and be the new definition of DOPE.*
From Where or whom did you hear about this project? Enter the referral person's full name if you know it including Dr. Ken Rochon and Dr. Andrea Adams-Miller's names.
What city/state and at what event with what host did you get your Keep Smiling photo taken?
what is your title of what you do? ie. Speaker, Author, Artist, Financial Advisor, Healer, Business Consultant, etc.
For legal reasons, please make all donations to PayPal @KeepSmilingMovement or to PayPal keepsmilingmovement@gmail.com, or text Dr. Andrea Adams-Miller at 419-722-6931 for wire instructions or to ask for other donation options, ie. real estate, airline points, products or services, or auction items. The Keep Smiling Movement is a mental and dental health organization, 501(c)3, Federal ID #47-2092152.
Where do you live? (City & State) and (Biggest City Near You)
Thank-you!
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Leave A Legacy:

Thank-you!