Teller Name (print) ______________________ Teller Signature _________________________ Date _____________ Rotary District 5180 SPEECH CONTEST STUDENT ENTRY FORM I hereby apply to enter Rotary District 5180 Speech Contest. I will compete on ___/____/_____ at the club contest of the Rotary Club of _________________. I agree to abide by the rules of the Rotary District 5180 Speech Contest and to create an original speech for delivery. I will Rotary speech contest during 2014-15. ONLY ONE Please fill out completely and legibly Student Name (printed): _________________________________ Grade: __________ Student Email Address:___________________________@______________________ Student Phone: Home: ( )_________________ Cell: ( )__________________ Student Home Address: __________________________________________________
Teller Name (print) ______________________ Teller Signature _________________________ Date _____________ Rotary District 5180 SPEECH CONTEST STUDENT ENTRY FORM I hereby apply to enter Rotary District 5180 Speech Contest. I will compete on ___/____/_____ at the club contest of the Rotary Club of _________________. I agree to abide by the rules of the Rotary District 5180 Speech Contest and to create an original speech for delivery. I will ONLY ONE Rotary speech contest during 2014-15. Please fill out completely and legibly Student Name (printed): _________________________________ Grade: __________ Student Email Address:___________________________@______________________ Student Phone: Home: ( )_________________ Cell: ( )__________________ Student Home Address: __________________________________________________
2016-Speech-Contest-Handbook---Draft.docx