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Registration Form

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    iCommunicate for Christ Speech and Debate Club Registration
     
    Parent Names:_______________________________________________________________

    Complete Address:___________________________________________________________
     
    Home Phone Number:___________________________________________

    Parent Cell Phone Numbers:_______________________________________

    Student Cell Phone Numbers:______________________________________

    Family E-mail Address (one that parents checks!):_______________________
     
    Student name: _________________________ Date of birth: ___________
    Student e-mail:_________________________Interest:(speech,debate,jrs)_______________

    Student name: __________________________ Date of birth:__________
    Student e-mail:_________________________Interest:(speech,debate,jrs)_______________

    Student name: __________________________ Date of birth___________
    Student e-mail:_________________________Interest:(speech,debate,jrs)_______________

    Student name: __________________________ Date of birth___________
    Student e-mail:_________________________Interest:(speech,debate,jrs)_______________

    Student name: __________________________ Date of birth___________
    Student e-mail:_________________________Interest:(speech,debate,jrs)_______________

    I acknowledge that I have read and agree to abide by the rules set forth in the Club Policies. I have read the Debate Partnering Guidelines and Senior Speech Requirements and agree to participate accordingly. Should any conflict arise concerning the club or our participation, I agree to uphold the principles set forth in the Peacemaker’s Pledge

    Parent Signature 

    All Senior Student Signatures
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