Share your experiences with OK2BME

Do you consent to sharing your testimonal?: *

By completing this form you understand and grant K-W Counselling Services, OK2BME and OK2BME.ca, the right to publish and use submitted photographs and text in print or electronic form including but not limited to the Internet and future media for the purposes of advertising and promotion, for exhibition and for use in printed materials. The images and text may be duplicated, distributed with or without charge, and/or altered in any form or manner without future or further compensation or liability, in perpetuity.

Name:

Enter your name if you wish it to appear with your testimonial

Age :

Please provide your age

Identity:

If you wish, you can provide your sexual and/or gender identity.

Organization/School:

Enter the name of the organization or school you are affiliated with

Tell us what you think: *

Tell us what you think about the services provided by OK2BME. This can be in any format you want (i.e. personal story, experience, etc.). Please do not include any identifying details unless you are comfortable with them being published.

Upload a picture of yourself:

If you wish, you can include a photo of yourself and/or organization to include with your testimonial. Images must be in .jpg format.