We're glad you're here! Please complete this form if you'd like to reach out for assistance in starting a program. School(Required)Include city, if not part of name. Level(s)(Required)Age group(s) in which you're interested (middle level = grades 6-8; high school = grades 9-12). Middle Level High School Activity(ies)(Required)Select which you are interested in. Speech Debate Theatre Film Name(Required)Name of person completing this form Dr.MissMr.Mrs.Ms.Mx.Prof.Rev. Prefix First Last Role(s)(Required)Role(s) of person completing this form Classroom teacher Activities/athletic administrator School administrator District administrator/superintendent School board member Parent Student Community member Email(Required) PhonePhone AvailabilityBest time(s) to call Youth Protection(Required)As a youth protection measure, a student must have another responsible adult present during a consultation phone call I agree to have an adult present during a phone callAdult(Required)Because you indicated you are a student, we must copy an adult on our communications with you as a youth protection protocol Dr.MissMr.Mrs.Ms.Mx.Prof.Rev. Prefix First Last Adult Email(Required) Barriers/Challenges(Required)What barriers/challenges to participation do you have at your school? If unknown or none, please write that.Comments/QuestionsPlease let us know whatever questions/comments you have.PhoneThis field is for validation purposes and should be left unchanged.
