One Small Step at UVA || High School Workshop Registration Form
Thank you for your interest in our high school workshop, sponsored by the UVA Democracy Initiative's One Small Step program. The workshop will take place on Wednesday, June 22nd from 9am-4pm.

The workshop will include a full day of skill-building activities, guest lectures, a tour of Grounds, and of course, a chance for students to record a One Small Step conversation with a peer.

Please complete the following information to secure your student's spot in the workshop.
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Email *
Student Name *
Student Email Address *
Student Date of Birth *
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Student's High School *
Student Grade *
T-Shirt Size (Adult Unisex) *
Dietary Restrictions
Has your child received the Covid-19 vaccine? As a University program, we are dedicated to ensuring the health and safety of all student participants. Please be notified that if your child is not vaccinated, we may require proof of a negative Covid test prior to the workshop. *
Parent/Guardian Name *
Parent/Guardian Email Address *
Parent/Guardian Phone Number *
Consent Form: Part of our program will include your student recording a One Small Step conversation with a peer. Our partnership with StoryCorps allows us to share recordings to an online archive, which is preserved at the American Folklife Center at the Library of Congress. For students under 18, we will be sending parents/guardians a DocuSign form closer to the workshop for their permission to record and preserve their student's conversation.
Do you have any questions or additional comments for our team?
A copy of your responses will be emailed to the address you provided.
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