Rotary Speech Contest Application
Applications Due: January 31, 2020
Tryouts: February 5th 3:30-6 pm OR February 6th 3:30-6:00 pm
Questions? Contact us at heidibergener39@gmail.com
Email address *
Name *
Your answer
Email Address *
Your answer
School: *
Required
Grade *
Cell Phone *
Your answer
Home Address *
Your answer
Home Phone (Only if cell phone is not avialable) *
Your answer
Parent/Guardian Name *
Your answer
Parent/Guardian Cell Phone Number (For emergency purposes only) *
Your answer
By Submitting this application, I certify that: *
Required
Preliminary Idea for Speech Topic *
Your answer
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