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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