Interested in Toastmasters?

Family Information

Please complete the form below if interested in joining our Toastmasters program. Thank you. You don’t need to provide information about the Covid-19 vaccination. Those fields are optional, and we won’t use them while putting together the list.

Note: The starting age for the Toastmasters program is 13 years. We will give 14 and 15-year-olds the first chance. Click here to see more info on the program.

Name and Date of Birth of Interested Teenager(s):

Name
Name
First
Last
Is vaccinated?
Name
Name
First
Last
Is vaccinated?

Contact Information of Parents or Guardians:

Name
Name
First
Last
Is vaccinated?
Name
Name
First
Last
Is vaccinated?

 

Have you registered for the Pathshala?