Speech ABC's Class Registration
Please fill out the form for registration. Payment details will be sent to Parent's email after the registration is submitted. Once registration and payment have been completed, families will receive a confirmation email. Welcome packets with full course access information will be emailed no later than three days before class.

First Class Reminder:
The Wednesday class (5PM. EST) begins on October 21st.
The Saturday class (12 Noon EST) starts on October 24th.

Got Questions? Email: TheLearningPlace19@gmail.com

SPACE IS NOT GUARANETEED UNTIL PAYMENT IS MADE AND A CONFIRMATION RECIEPT HAS BEEN RECIEVED
Email *
Student's Name *
Gender *
Student's Grade *
Student's Age *
Which Class Will Your Child Be Attending? *
Address *
Parent's Name *
Parent's Email *
Best Contact Number *
Emergency Contact Name *
Emergency Contact Number *
Has the student had any prior Speech class experiences? *
What is the student hoping to gain from this course? *
What do you hope your child gains from this course? *
Is there anything we should know about your child that will make him/her that may have an impact on the learning process? Is there a need for special accommodations? *
Additional comments or relevant information?
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy