SPEAK September Writing Online 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. The online workshop will be split into both elementary and middle school groups. Students will need Internet access as well as being able to use Zoom (either the website or app).

These classes will take place on Saturdays on September 12th, 19th, 26th, and October 3rd, from 3:00 to 3:45 pm EST.

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!

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電子郵件 *

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? *

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

Yes

其他：

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.

其他：

How did you hear about our program? *

Newsletter

Friend

Social Media (Facebook, Twitter, Instagram)

Nextdoor

其他：

必填

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

系統會透過電子郵件將你的作答內容複本傳送到你所提供的地址。