SpeakUp! Event Registration

Company
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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.
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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: 2032
7th: 2031
8th: 2030
9th: 2029
10th: 2028
11th: 2027
12th: 2026
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)
Drama/Gossip
- How can people handle drama? Stress?
- Does either affect your mental health?
- Can drama affect how you act at home?
- Actions & emotions
- Can gossip change your perspective? How?
- Does jealousy start gossip? What starts it?
- Does letting gossip go help the situation?
- How can gossip be avoided?
- Choosing positivity
- What is the point of gossip?
- How does gossip make you feel?
- How can gossip be resolved?
- Don't be a part of it/don't gossip
- Walk away/distance yourself
Not Meeting Expectations
- Consequences for doing poorly
- How people express expectations
- Fear of failing
- Positive coping strategies
- Areas where you feel you're underperforming
- Social battery
- Bad grades/What is considered a bad grade?
- Time management: How can I manage my time?
- Bad choices: What can some bad choices be?
- What's considered a bad friend?
- Could you do something else if not athletic?
- What are some good choices?
- Not trying hard enough
- Being friends with the wrong people
Mental Health
- Confidence
- Speaking up for yourself/others
- Self-positivity
- Good work ethic
- Put your phone down
- Surround with people who make you feel good
- How health can affect your mental health
- Drugs/alcohol/vaping
- Doubt
- How to talk about mental health to others
- How does it affect your life?
- How can friends affect your mental health?
- Bad relationships
- Bullying
- High expectations
- Scared to ask for help
- How to support others
Peer Pressure
- How does peer pressure impact your life?
- Saying no/effects of saying yes
- Telling a trusted adult
- Surrounding yourself with the right people
- Solutions
- What to do in moments of peer pressure
- Feeling left out
- Knowing your surroundings
- Drugs/alcohol
- Style/what is on social media
- Being framed
- Keeping up with trends
- AI
- Friend groups
- Sports teams
- School/cheating on tests
- Choosing games/going to parties
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]

First name	Middle initial	Last name	This person is my

Participant Info

Breakout Session

Topics (click here to view topic talking points)

Drama/Gossip

Not Meeting Expectations

Mental Health

Peer Pressure

Family Members Attending

Special thanks to our Corporate Partners