SpeakUp! Event Registration

Please complete the form below to register for an upcoming SpeakUp! event:
Participant Info
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Speakup Staff
You can select from contacts that have been previously assigned to a Facilitator, Staff, or Volunteer Group in CiviCRM
Choose Prior
Select the SpeakUp! Event you're registering for:*
Name*
.
First Last
Address*
Street Address City State Zip Code
Email*
Phone*
Phone number will be used if additional support is needed during or after the event.
Which gender pronouns do you identify with?*
Are you on the Student Leadership Team for this event?*
Participant Type*
School Staff Type*
Which school are you associated with?*
Student's grade*
Student's High School Graduation Year*
Grade to Graduation Year Chart
6th: 2031
7th: 2030
8th: 2029
9th: 2028
10th: 2027
11th: 2026
12th: 2025
Breakout Session
You will be participating in ONE Breakout Session. Please Rank your top Breakout choices in order of preference: (1-3)
Topics (click here to view topic talking points)
Pressures About The Future
- College (further education)
- Exams
- Fear of failure
- Sports/Clubs
- Parents
- Adulthood
- Moving out (housing)
- Independence
- Savings/Taxes/financial stability
- Military
- Jobs
- Friendships (relationships)
- Family (Starting /Maintaining)
- Transportation/Distance
- Work/life balance
- Wishing to be the best version of yourself
- Letting go of yourself
- Expextations from others
- Ways small pressure helps
Family Issues
- Meeting expectations
- Listening without judgment
- The impacts of stress
- Understanding growth
- Differing personality
- Pressures/Expectations
- Stress/Grief/Trauma
- Personal experinces
- Finacial support
- Lack of privacy
- Caring too little/too mcuh
- Comparison
- Divorce
- Generational Divide
- Politics
- Fake Family Image
- Verbal & Physical Abuse/Assault
- Beliefs/ Religion
- Homophobia, Racism, Conservative Mindset
- Mental Issues / Substance Abuse
- Strict Rules
- Guardianship
Mental Health
- Trauma/Stress/Pressure
- Anxiety/depression
- Coping (bad and good)
- Impacts of strict households
- Comparison to social media/isolation
- Negativity
- Body image/Beauty standards/Eating disorders
- Work life balance
- Academic pressure
- Social Life
- Acceptance of mental health
- Substance abuse/Addictions
- Peer pressure/Fitting in
- Knowing when to ask for help/being open to it
- Personal pressure/self expectation
- Disabilities
- Sports injuries
- Lack of education
- Lack of intreast
- Loneliness
- Past failures
- Lack of motivation
Luchas de Primera Generación
- Language Barrier
- Not Having A Guide
- Family Stress
- Peer Pressure
- Building a Routine
- Lack of Support
- Anxiety
- High Expectations
- Environmental Differences
- Identity Issues
- Financial Struggles
- Strict Parenting
- Burdens
- Culture Shock
Topics: 1st Choice*
Topics: 2nd Choice*
Topics: 3rd Choice*
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Topic/Room Selection
Note: Please be sure you have selected 3 different Topics.
*We will do our best to give you your first choice topic, but it is not a guarantee.*
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Contact Preference
- Click here to opt-out of Speakup! emails which include valuable resources, Parenting Adult Coffee Invitations, School Adult Discussion Invitations, Youth Mental Health First Aid Training Opportunities and much more.
Will other family members be attending this SpeakUp! event?
Family Members Attending
NOTE:THIS DOES NOT REGISTER THAT FAMILY MEMBER. All Participants must register separately. Listing family members below ensures you will not be in the same breakout with those listed.
Attending Family*
First name Middle initial Last name This person is my
e.g. Parent's name is John Smith and email is [email protected], and student's name is also John Smith with an email address of [email protected]
- My name and email address are the same as my child or parent.
e.g. Parent's name is John Smith and email is [email protected], and student's name is also John Smith with an email address of [email protected]
Name
This field is for validation purposes and should be left unchanged.

First name	Middle initial	Last name	This person is my

Participant Info

Breakout Session

Topics (click here to view topic talking points)

Pressures About The Future

Family Issues

Mental Health

Luchas de Primera Generación

Family Members Attending

Special thanks to our Corporate Partners

SpeakUp!