SPEAK July 2021 Arabic Workshop Registration

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Hello! Thank you for your interest. SPEAK, Speech for Public Education, Action, and Knowledge, is a nonprofit founded in Richmond, Virginia dedicated to teaching students public speaking and communication skills. Students will need Internet access as well as being able to use Zoom (either the website or app).

This workshop is 10 classes, and will take place on Tuesdays starting on July 12th. The timings for these dates are still TBD, but we will follow up with the respective information. This is a beginners class that will introduce students to the Arabic language as well as some aspects of the culture as well. It is open for students in grades K through 8!

Once you fill out the form, you will receive an email with your responses. Please visit https://www.speakforyouth.org/ or email speakforyouthglobal@gmail.com if you have any questions or would like to learn more information. Thank you!

Email *

Student First Name *

Student Last Name *

Parent/Guardian First Name *

Parent/Guardian Last Name *

Parent/Guardian Phone Number *

Student Age *

Is your student in elementary or middle school? *

Elementary School

Middle School

What school does your child attend?

What city/state are you from?

Is this your first time your student is attending a SPEAK workshop/class? *

Yes

Other:

Does the parent/guardian allow for photos/videos to be taken of their student for promotional purposes (social media, advertising, publicity, etc.)? Photos/videos will not be used to portray any students negatively. If no, we will NOT use any pictures of your student during the workshop for promotional purposes. *

Yes, I allow for photos/videos to be taken of my student for promotional purposes.

No, I do not allow for photos/videos to be taken of my student for promotional purposes.

Other:

How did you hear about our program? *

Newsletter

Friend

Social Media (Facebook, Twitter, Instagram)

Nextdoor

Other:

Required

Any questions, comments, or concerns? (These can include any technological issues as well.)

A copy of your responses will be emailed to the address you provided.

Submit

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