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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 *
First Name *
Student Grade *
Student Homeroom Teacher and Last Class Period *
Primary Phone Number *
E-mail Address *
Parent Contact Information
Last Name *
First Name *
Primary Phone Number (if different from above)
Secondary Phone Number *
E-mail Address *
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
Co-leader First Name
Co-leader Grade
Clear selection
Co-leader Student's Homeroom Teacher and Last Class Period
Co-leader's Primary Phone Number
Co-leader's E-mail Address
Parent Contact Information (for co-leader)
Last Name
First Name
Parent Primary Phone Number (if different from co-leader student)
Parent E-mail Address
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