First name*

Last name*

Email*

Parent Name*

School child attends*

Current grade level and teacher name*

Please tell us a little bit about yourself and your interests/hobbies.*

What topic are you interested in presenting?*

Why is this topic important to you? *

What are ways you think we can raise awareness or help those affected by this topic?*

If you have prior public speaking experience, please use this space to tell us about it. Prior experience is NOT required for participants.

OPTIONAL VIDEO: If you'd like to provide us more insight into you as a speaker, you're also welcome to submit a short video of you talking on any topic of interest to you! This does NOT have to be the topic you're speaking on, it can be something random. This video just gives you a chance to show off your public speaking skills in a different format but is NOT required. If you would like to submit a video please do so by providing a link to access the video (google drive, youtube, etc.) or directly sharing it to our email at littlelightsproj@gmail.com.

Acknowledgement of Responsibility: By clicking below, I confirm my understanding that this event requires preparation, including but not limited to an initial meeting to discuss ideas and my presentation, rehearsals before the event, and presentation on the day of the event. *

I understand

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