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NSA Chapter Leader Agreement

As a chapter leader of a local chapter of the National Stuttering Association, I agree to abide by the following tenets:

  • Provide a safe and supportive environment for all persons who stutter (PWS)

  • Help people who stutter establish connections with other people who stutter

  • Provide a safe place to gain information about stuttering

  • Provide a safe place to practice speech techniques and therapies

  • Follow the established policies and procedures of the National Stuttering Association as set forth by the Board of Directors and the Chapter Leader’s manual

  • Understand that names/personal information of NSA members cannot be sold, rented or distributed without prior written approval from the NSA National Office

 

All Chapter Leaders acknowledge this by signing below.

Please note that the contact information listed below will be what is used for your chapter listing on our website and in any other chapter advertising.

Chapter Leader Agreement Form

Name of Chapter Leader

Name(s) of Chapter Co-Leaders (if applicable)

Select Chapter Type
Kids (ages 7-12)
Teens (ages 13-17)
Family (ages 7-17)
Adults (age 18+)
Combined (Families & Adults)

Meeting Day and Time

(eg: 3rd Saturday of each month, 1st Wednesday of each month, etc)

Chapter Location

Chapters must meet in a public location (library, office building, classroom, etc), and may not be held in a private home.

Chapter Leader(s) Contact Information

(will be listed on the website as contact info unless otherwise indicated)

(will be listed on the website as contact info unless left blank)

Chapter Leader Headshots & Social Media Handles for Outreach

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