JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
SPEAK UP Holiday Program (Saturdays from 17 Oct - 12 Dec 2020)
Programme Run: Saturdays, October 17th - Dec 12th 2020 (excluding 14 Nov)
Class Venue: 391B Orchard Road, Ngee Ann City, Level 22
Contact us at
YCKidsSpeakUp@gmail.com
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Your Child's name
*
Your answer
Your Child's age (in 2020)
*
Your answer
Your child's current and future school (if they are entering into Primary school next year)
*
Your answer
Parent's Name
*
Your answer
Parent's Contact Number
*
Your answer
Home address
*
Your answer
There are 2 class timings for this run. Kindly select which class your child will be attending
*
Saturdays, 4 - 5.30pm
Saturdays, 6.30-8pm
Kindly indicate whether you have any concerns on snacks (as healthy as possible) offered, as well as any dietary restrictions your child may have
*
Vegetarian
Vegan
Kosher
Halal
Gluten-free
None
Other:
Is there anything you would like to share with us about your child (eg. phobia/fears, allergies, etc)?
Your answer
What are your top 3 concerns for your child with respect to public speaking?
*
Your answer
Please share with us more about why you want your child to attend the SPEAK UP programme and what you hope for them to achieve by the end of the programme?
*
Your answer
In order for us to find out more about your child, we would like to schedule a short 10-15min chat with you and your child over Zoom. Kindly indicate your preferred time slot below:
Please select all that apply
Morning 9-11am
Midday 12-2pm
Afternoon 3-5pm
Evening 6-8pm
For other slots, kindly leave a message below
Weekdays
Weekends
Morning 9-11am
Midday 12-2pm
Afternoon 3-5pm
Evening 6-8pm
For other slots, kindly leave a message below
Weekdays
Weekends
Please indicate your preferred timing if you are unable to make the ones above
Your answer
How did u hear about us?
*
Facebook Ads
Instagram Ads
Word-of-mouth from friends
Yvonne
Sabrina
I give my consent for YC's Little Academy for Public Speaking to use photos or videos of my child/children for publicity via social media (Facebook, Instagram, WhatsApp) or any channel deemed appropriate.
Yes
No
Clear selection
Send me a copy of my responses.
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms