Registration

Debate Championship for Elementary and Middle Schoolers

Event:

Start Date/Time:

End Date/Time:

Fee per Student:

Room:

* - denotes required fields

Family Information

	First Name:*	Last Name: *
	Type*
	Home Phone:	Cell #: Work #:
	Email:*	(Emails are kept confidential)

	Address: *
	City: *	State: * Zip: *

Students entered below will be added to your family's account

Questions/Options:


Which section will your child be participating in? Write 'Elementary' if your child is in Grade 1-5; Write 'Middle' if your child is in Grade 6-8*

Additional Information:

Event Policy

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I've read the above and agree.

Photo Release

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I've read the above and agree.

Enter your Full Name:

Other Questions/Comments:

Credit Card Verification:

eCheck/Bank Draft:

Bank Name:

Bank Routing Number:

(9-digit number)

Your Account Name:

(Your name on your bank statement)

Your Account Type:

Account Number: