SpeakUp! Event Registration

Please complete the form below to register for an upcoming SpeakUp! event:
Participant Info
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*
This email address must be the same email address used for your Zoom account. We use your email address for breakout room assignments, so it is important for each family member to use their own. If you do not have a Zoom account, click here to create one.
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*
Number of years in SpeakUp!*
Which school are you associated with?*
Student's grade*
Student's High School Graduation Year*
Grade to Graduation Year Chart
6th: 2027
7th: 2026
8th: 2025
9th: 2024
10th: 2023
11th: 2022
12th: 2021
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)
Mental Health & Stress
- How has quarantine affected mental health?
- Online vs in-person school affects?
- Grades, Stress
- Family Dynamics and Home Stress
- Motivation
- Self Image
- Coping Strategies
- The new normal (not seeing people, no sports)
- “Withdraw” from society
- Isolation
- The Election and the Government
- How to deal with mental health
- How to ask for help
- Getting help
- How you can help others
- Stigma around mental health
Discrimination & Inclusivity
- What is discrimination?
- Types of discrimination (racism, sexism, etc.)
- How to help others feel included
- Older generations - see comments as harmless
- Implicit bias, microaggressions
- Politics gets in the way
- Using pronouns & names people wish to be called
- Not understanding/believing
- Wanting nothing to do with it
- How to respect identity
- Racial injustices
- How to support their child through this
- How to start a conversation about discrimination
- How to make your classroom a safe space
- Influence of the media, family, friends
- Are we as a generation too sensitive?
- What is privilege?
Expectations & Peer Pressure
- Covid/Online School
- Grades/Academic Expectations
- Junior Year, Standardized testing
- Extra Curricular Expectations
- Party Culture
- Drugs/Alcohol/Vaping
- Achievement/Sport pressure
- Time Management
- Social Media Pressure
- Fitting In and Following Trends
- Socializing Pressure (Covid)
Relationships & Friendships
- Expectations from parents
- Conflict with friends
- Covid creating distance in relationships
- Balancing relationships w/ school & extracurriculars
- Prioritizing which relationships are most important
- Communication - difficult online due to COVID
- Tension at home with family due to quarantine
- High School Relationships/during Covid
- Making new friends
- Seniors and lack of traditions
- Finding Relationships/Friendships in college and future
Topics: 1st Choice*
Topics: 2nd Choice*
Topics: 3rd Choice*
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.*
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
- 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]
Phone
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)

Mental Health & Stress

Discrimination & Inclusivity

Expectations & Peer Pressure

Relationships & Friendships

Family Members Attending

Special thanks to our Corporate Partners