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Brickell Academy PTA Elementary After School Cultural Workshop Signup Form (to be completed by middle school students in foreign language program).
IMPORTANT: Students interested in leading a cultural workshop must have parent approval. Your parent must agree to volunteer as a parent coordinator for your workshop (duties detailed in section 2 of this form).

PLEASE NOTE THE FOLLOWING DEADLINES:
Fall Clubs and Workshops are held in October and November. Deadline to confirm your workshop dates and lesson plan is September 1.

Winter Clubs and Workshops are held in December, January and February. Deadline to confirm your workshop dates and lesson plan is November 1.

Spring Clubs and Workshops are held in March, April and May. Deadline to confirm your workshop dates and lesson plan is January 31.
Student Contact Information
Last Name *
Your answer
First Name *
Your answer
Student Grade *
Student Homeroom Teacher and Last Class Period *
Your answer
Primary Phone Number *
Your answer
E-mail Address *
Your answer
Parent Contact Information
Last Name *
Your answer
First Name *
Your answer
Primary Phone Number (if different from above)
Your answer
Secondary Phone Number *
Your answer
E-mail Address *
Your answer
When is the best time to reach you? *
Required
Will you be leading this workshop with a fellow Brickell Academy middle school student? *
Co-leader Student Contact Information
Please enter your co-leader's information below.
Co-leader Last Name
Your answer
Co-leader First Name
Your answer
Co-leader Grade
Co-leader Student's Homeroom Teacher and Last Class Period
Your answer
Co-leader's Primary Phone Number
Your answer
Co-leader's E-mail Address
Your answer
Parent Contact Information (for co-leader)
Last Name
Your answer
First Name
Your answer
Parent Primary Phone Number (if different from co-leader student)
Your answer
Parent E-mail Address
Your answer
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