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Lexington Debate Institute Application 2021
Thank you for putting your trust in our Institute. We promise to make it a productive and enjoyable learning experience for your child! Email us with questions at
lexdebateinstitute@gmail.com
.
Payment information: please head to
https://www.lexdebateinstitute.com/payment
and select the appropriate option for the given session. If you qualify for financial aid, please email us first to discuss scholarships.
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* Indicates required question
Email
*
Your email
Parent/Guardian Name
*
Your answer
Parent/Guardian Phone Number
*
Your answer
Student's Name
*
Your answer
Mailing/Residential Address
*
Your answer
School your child attends:
*
Your answer
Alternate Emergency Contact Name
*
Your answer
Alternate Emergency Contact Number
*
Your answer
Which session are you signing up for?
*
Two Week Session - August 2 - August 13
One Week Session - August 2 - August 6
Two Week Session - July 19 - July 30
One Week Session - July 19 - July 23
Half Day Program - July 5 - 16
If you are signing up for the August session, would you prefer the in-person program?
Note: to cover site and in-person supplies, the cost for in-person programming is slightly higher: an extra $250 for one week, and $500 for two weeks.
Yes
No
Clear selection
Does your child have prior experience with debate?
*
This helps us with placement into the introductory, intermediate, and advanced curriculums.
No, my child does not have experience with debate.
Yes, my child has prior experience with debate.
Yes, my child has significant experience with debate (either two summers or participated in LDI fall/spring club).
Incoming Grade for 2021-2022
*
Grade 6
Grade 7
Grade 8
Grade 9
Other:
Student T-Shirt Size
Youth S
Youth M
Youth L
Youth XL
Adult S
Adult M
Adult L
Adult XL
Clear selection
Any learning concerns we should be aware of?
Your answer
What goals do you or your child have for this summer? How can we best make sure we tailor to their needs?
Your answer
Does your child have access to a computer, internet, and basic pen/paper?
If the answer to this question is no, please email us at
lexdebateinstitute@gmail.com
after completing this form and before making any payment; we will do our best to accommodate everyone, but lack of internet access may pose a challenge.
Yes
No
Other:
Clear selection
How did you hear about the Lexington Debate Institute?
*
Word-of-mouth
Online advertisement -- Google Ads
Online Advertisement -- Facebook
WeChat or another media chat group
Email from a friend
PTA newsletter
Newspaper article
Poster in library or local store
Harvard Debate Council Summer Workshops
Boston Debate League
Debate Spaces
Web search for summer program
Other:
Required
Did someone refer you to the Lexington Debate Institute?
Your answer
Has your child participated in prior LDI programs?
Either the summer program or fall/spring club counts.
Yes
No
Clear selection
Any additional comments or questions?
Your answer
Is your child eligible for free/reduced lunch at school? We are offering spots at a reduced rate. If so, please email us at
lexdebateinstitute@gmail.com
after filling out this form and we will be in touch shortly about the reduced rate.
Your answer
A copy of your responses will be emailed to the address you provided.
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