Public Speaking Registration Form
Dear Prospective Family,
Thank you for your interest! Please fill out this registration form. If you are registering multiple students, each student needs their own registration form.
This course is continuous and year-round for students from Kindergarten to 12th grade. There will be 4 classes per month. Each class will be 60 minutes. The fee is $125 total for four, virtual classes. If for any reason the instructor cancels a class, a makeup class will be provided. If the student misses class due to medical reasons or other unavoidable circumstances, I will try to hold a makeup class if there is a 5th week of a month. However, missing classes are not encouraged and cannot promise a makeup class since these are group sessions!!

 Please submit this form at your earliest convenience as time slots are quickly filling up.

We are looking forward to enriching your child's public speaking experience!

Thanks,
Tiffany Thomas
Director of Online Tutoring
www.enrichlearningnj.com
Email:enrichpublicspeaking@gmail.com
Phone: 973-220-4535

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Student Name *
Student Date of Birth *
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Student Grade Level in September 2023 *
Parent Phone Number *
Student Phone Number (Optional)
Parent Email Address *
Student Email Address (Gmail account is needed to share class material. If the student has no email, parent email is sufficient).
Home Address
Virtual Classes Time Slots - Mark all available days/times  *
Required
Do we have permission to publish images/videos of students' work? (A permission form will be emailed separately).
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What other activities does the student participate in?
How did you learn about The Enrich Learning Public Speaking Program? *
Has the student ever taken a Public Speaking Course before? *
Additional Comments:  Please describe any public speaking experience of the student and any other information you would like me to know.
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