2022 Pageant of the Arts: SPEECH CONTEST REGISTRATION

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Rotary Clubs- Please complete this registration form for your club's winner for the Pageant of the Arts 2022 Speech Contest. District Competition will be held on May 7, 2022. All fields must be completed.

Registration must be submitted by April 23, 2022. Please complete this form electronically. Paper versions are not accepted.

Sponsoring Rotary Club *

Rotarian Contact Name *

Rotarian Contact Phone *

Rotarian Contact Email *

Name of Speech Contestant *

Birthdate *

YYYY

Address *

Cell Phone *

Email *

Name of High School or Alternative Study *

Grade Level *

9th Grade

10th Grade

11th Grade

12th Grade

Other:

Name of Parent/Guardian *

Cell Phone *

Email *

Brief summary of speech topic *

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