You Speak Now Registration Form

Please fill in the form below – If the student is under 18 years of age, a parent or legal guardian of the student must complete their section of the form

Student Name:

Email:

Phone:

Age:

Date of Birth:

Grade:

School:

School Address:

City:

State:

Parent Name or Legal Guardian:

Email:

Phone:

You Speak Now 2021 – The top 10 for each competition will be revealed on December 19, 2020.

YSN Middle School 2021 Winter Competition (Open to 6th-8th graders) Date: February 1, 2021 | Location: Toledo, Ohio | Deadline to register: November 21, 2020 Topics: 1st Round: Friendship, 2nd Round: Self-Esteem, 3rd Round: Heroes YSN High School 2021 Winter Competition (Open to 9th-12th graders) Date: February 8, 2021 | Location: Toledo, Ohio | Deadline to register: November 21, 2020 Topics: 1st Round: Identity, 2nd Round: Courage, 3rd Round: Family

Upload your headshot: If file is too large, please send to: inspire2reachhigher@gmail.com with the title: YSN Headshot

Upload your video: If the upload does not work, you can email your video clip to: inspire2reachhigher@gmail.com – The form will be considered incomplete without a video explaining what your motivation is and why you should be picked to be a part of the top 10. Videos cannot exceed two minutes.

What is something important the audience should know about you? *

What are your social media handles? *(Facebook, Twitter, Instagram) – anything that would tell us more about yourself.

Do the following so you can stay connected:

Like Coach Jason’s Facebook Page: @coachjason82
Follow Coach Jason on Instagram: @coachjason82
Subscribe to Coach Jason’s YouTube Channel: Jason A. Dixon

Important Note: Applying does not guarantee you will be chosen for You Speak Now. A lot is factored in when making the decision, but ultimately it is to bring the best and most diverse stories to our stage. Coach Jason and his team will be in touch to provide more information on how you can best meet the criteria to be chosen for YSN. Once the YSN application is received, an invoice for the $50 registration will be emailed to you. The registration fee must be paid in full before the application is reviewed.