Submit Your Selfie

A caption or title for your selfie:

The name of the person at the center of the selfie:

Your relationship to the person at the center of the selfie:

Other Names:

Additional information you would like to share about the selfie or the people who are included:

The country in which you reside:

I have attached a selfie photo and give my permission for it to be published on www.ABeautifulVoice.org.

Your Name:

Your Email:

City/State (Optional):

Attach your selfie photo here:

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