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Speaklight @ NYC October 12-14 2019
Intro to Rock Climbing @ Sportrock Alexandria VA
Who will attend?
Youth (student mentee or dependent)
Adult (Prime Educator or guardian)
Attendee First and Last Name:
Are there any medications or medical conditions we should be aware of?
yes. I will inform the chaperones before the trip
Emergency Contact First and Last Name
Emergency Contact phone #:
By checking each box, you understand that:
An Itinerary will be shared prior to the event.
Parent/Guardian will arrange transportation to and from the group meet up location at the given times.
(NYC only) Travel + Hotel + meals + group activities will be sponsored by Speaklight. Extra spending money is encouraged but not required.
Can we use positive photos and videos of the attendee at the event to promote our work?
yes. more people should see!
no photos please
What email address can we send the itinerary and details to?
Any questions, comments, or concerns? Let us know here: