Youth Speaks Enrollment Form

Youth Speaks Enrollment Form

Enroll your teen in the Youth Speaks communication and leadership program.
Youth Speaks is a six-weeks (2 month) communication and leadership program designed to help teens build confidence, express their ideas, and speak with clarity. Using Toastmasters‑based methods, students learn public speaking, presentation skills, leadership roles, and effective communication in a supportive environment.

Location: 1910 Santa Clara Ave, Alameda, CA 94501
Program Date: Saturdays, 9:00 AM – 10:00 AM
Tuition: Free
Payment method: Zelle to maecsfba@gmail.com
Parent/Guardian Full Name
Parent Email Address
example@example.com
Parent Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Teen’s Full Name
Teen’s Age
School Name
Preferred Session
Emergency Contact Name
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Please list any special needs or accommodations.
I give permission for my teen to participate in the Youth Speaks program.
Media Release
Should be Empty: