2017 Summer Elementary Speech Workshop
If your student is interested in attending the Leland High School Summer Speech Workshop, please fill out this form.

FOR RISING 2ND, 3RD, AND 4TH GRADE STUDENTS:
The workshop will be held on June 28, 29, 30 from 9 AM to 11AM at Leland High School in room J2.
Cost is $175 per student.

FOR RISING 4TH, 5TH and 6TH GRADE STUDENTS:
The workshop will be held on July 10-14 from 9 AM to 12PM at Leland High School in room J2.
Cost is $380 per student.

Once you register on this form, please send in a check reflecting the cost of the chosen workshop to secure your child's spot in the program. Checks should be made payable to Leland Speech and Debate. Please write your child's name on the check.

Please mail checks to:
Gay Brasher
Leland High School Elementary Workshop
6677 Camden Avenue
San Jose, CA 95120

We will send a confirmation email once we receive your check. If you have any questions, please email them to gay.brasher@gmail.com . Thank you!

Parent Name *
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Parent Email *
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Parent Phone Number *
e.g.: (123) 456-7891
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Home Address *
e.g.: 6677 Camden Avenue, San Jose, CA 95120
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Student Name *
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School Currently Attending *
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Current Grade Level *
Workshop selected *
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