SAY: Confident Voices: NYC In-Person Spring Mentor Project Application Form (IN-PERSON)
THIS IS THE APPLICATION FORM FOR OUR IN-PERSON SESSION. To find the enrollment form for our three ONLINE SESSIONS, please click here: https://forms.gle/FMmMdMvSBGM7Vv4B7

Confident Voices: Spring Mentor Project is an 8-week program for kids & teens who stutter (ages 8-18) in NYC & the Tri-state area! Capacity is limited (details below).

We are excited to be continuing to serve & support our beautiful and ever-growing online community, and are ALSO grateful to have the opportunity to return to an in-person offering!

We will be offering each week:
- three online sessions
- one in-person session, held at Pearl Studios in Midtown NYC (500 8th Avenue, 3rd Floor)


Enrollment for Confident Voices: NYC In-Person Spring Mentor Project will be offered at a very limited capacity due to Covid-19 precautions, and spots will be offered on a FIRST COME, FIRST SERVED basis. Once we have reached our in-person enrollment capacity, all other interested participants will be invited to join one of our online sessions.

*Covid-19 Precautions:*

- The in-person session will NOT be held at SAY's offices due to spacial limitations. Pearl Studios offers good ventilation via windows, ample space for distancing, as well as HEPA and MERV filters in each studio space.

- Masks will be required at all times for all participants and staff.

- To continue maintaining the safest possible space for all, all adult staff and mentors who join us for our in-person session are required to be fully vaccinated and boosted.

- Though not mandated, we strongly recommend that participants enrolled in the in-person session be vaccinated. We will be collecting participant vaccination status (below) for internal use only. PLEASE NOTE that we have recently learned that Pearl Studios will require those who are unvaccinated to present a negative Covid test (taken within 72 hours) upon entry.

If you have questions about our vaccination and COVID safety policy, please do not hesitate reach out to us directly.


*About the Mentor Project!*
In our popular spring Mentor Project, we invite a select group of adult Mentors who stutter to join our group of participants each week. Young people who stutter and Mentors will be paired with an expert Teaching Artist and will collaborate on creating an original artistic piece. Together, groups will connect about stuttering, create deep bonds and participate in a variety of fun artistic exercises. Over the course of 8 weeks, we will engage in even more brand NEW arts exercises and will explore themes relating to self-empowerment, advocacy, hope, stuttering, anti-racism, and equality.

Most importantly, as always we will hang out, connect, and share with peers who stutter in a safe and chill online space!

At SAY, everyone has as much time as they need to speak. Participants are encouraged to be confident in their unique and powerful voices, and to express themselves freely as they connect with peers in an environment where it is really, really, really ok to stutter.

This program is offered free of charge. Enrollment form must be filled out by a parent/guardian.

Please fill out the form below to enroll your child in the Confident Voices: NYC In-Person Spring Mentor Project! Space is limited.
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Email *
Confident Voices: NYC In-Person Spring Mentor Project dates (8-week program):
Participant first name *
Participant last name *
Participant date of birth: *
Participant age: *
Participant grade: *
Participant identifies their gender as: *
Participant's Covid-19 vaccination status (this information is for internal use only. PLEASE NOTE that we have recently learned that Pearl Studios will require those who are unvaccinated to present a negative Covid test (taken within 72 hours) upon entry): *
Parent / Guardian name: *
Relationship to child: *
Parent / Guardian contact number: *
FULL shipping address (including: street address, apartment #, city, state, postal code): *
Below is a list of all timeslot options, for reference only; this form is for enrollment in "In-Person Sat Early" only.  See other form to enroll in any of our online options.
Would you like to enroll your child in NYC IN-PERSON Saturday mixed age Early Session (12-2pm EST, start date: April 16th)? *
What is the impact of stuttering on your child's life? *
Why is SAY important to your family? *
By filling out this form, you are agreeing that if choosing to attend in-person programming,  your child will be fully vaccinated (minimum of 2 doses), wear a mask and adhere to Covid Safety precautions for the duration of the Spring Mentor Project. The Confident Voices team will be taking the maximum necessary precautions in order to create as safe a space as possible (please reach out if you have questions about the specifics of our safety precautions). The health of our community is our number one priority. Regardless of the extent of precautions taken, there is risk involved with attending in-person programming.  Please see our Covid Assumption of Risk Terms below.
COVID assumption of Risk terms
SAY: The Stuttering Association for the Young (SAY) has put in place preventative measures to reduce the spread of COVID-19 for the duration of this program; however, SAY cannot guarantee that your child will not become infected with COVID-19. Further, attending any program offered by SAY could increase your child's risk of contracting COVID-19.

On my behalf, and on behalf of my children, I hereby release, covenant not to sue, discharge, and hold harmless SAY, its employees, agents, and representatives, of and from the Claims, including all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating thereto. I understand and agree that this release includes any Claims based on the actions, omissions, or negligence of SAY, its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation in SAY's Spring Mentor Project

Additionally, if my child d is experiencing fever, body aches, cough, shortness of breath or any other symptoms that may be attributed to COVID-19, or have been knowingly exposed to COVID-19 within the last 10 days, they agree not to attend Mentor Project programming.

Do you agree to our Terms & Conditions below? (Must be filled out by parent/guardian) *
Terms of Agreement
1. Parents must notify SAY if their child will be missing part or all of a SAY program or event at least 24 hours BEFORE the SAY event begins. If your child is sick, will be late to, will leave early from, or will miss a SAY program or event, please contact Director of Confident Voices, Kate Detrick or Artistic Director of Confident Voices, Aidan Sank. SAY Cell Phone: (917)-697-7183.

2. SAY is supported by the community, and its programs are typically offered to its participants for much less than the actual cost of the program expenses. However, at this time, all Confident Voices sessions are being offered FREE (while space lasts).

3. SAY is a positive and safe environment. Accordingly, SAY reserves the right to ask a child to leave the company, in its sole discretion, whose behavior resembles the following: a) excessive violent/disrespectful behavior, b) excessive lateness or absences, c) any possession of drugs, alcohol, or weapons.

4. Attendance problems adversely affect SAY's programs, and ultimately your child's experience in those programs as well. Because of this, your child may be asked to leave the program if they are excessively absent. This decision will be made on a case-by-case basis at the Director and Artistic Director’s discretion.

5. Families and individual participants may not make contact with SAY employees via personal cell phones, email, or social media (Facebook, Instagram, Snapchat etc.). If a family wishes to make contact with a specific SAY employee, please contact one of the Directors via email (kate@say.org, aidan@say.org) or phone (917-697-7183).

6. Individual SAY employees are not permitted to accept gifts or monetary tips of any kind from families or participants. If a family wishes to give a greeting card or thank-you note to a specific employee, the card may not be presented directly to the employee, but can be given to one of the Directors to be passed along. In addition, express agreement from one of the Directors must be obtained in advance if a family wishes to provide any edible items to share with SAY participants and/or staff.

7. For good and valuable consideration we hereby consent to and authorize the reproduction, publication and use by SAY of any photograph, picture, sobriquet, voice or likeness of my child.

8. I further give permission and consent that any such photographs may be published and used by SAY and the American Camp Association® and its agents, to illustrate and promote the participant experience, SAY and its programs, or the American Camp Association.

In accordance with applicable federal laws, SAY provides equal opportunities to employees and applicants without regard to age, race, religion, ethnicity, veteran status, disability, gender identity, or sexual orientation.
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