Lexington Debate Institute Debate Application Fall 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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Email *
Parent/Guardian Full Name *
Parent/Guardian Phone Number *
Student's Full Name *
Mailing/Residential Address *
School Your Child Attends *
Alternate Emergency Contact Name *
Alternate Emergency Contact Number *
Which session are you signing up for? *
Are you signing up for the online session (Saturdays 1 p.m. - 3 p.m.) or the in person session (Thursdays 3:30 - 5:30 at Lexington High School) *
Does your child have prior experience with debate? *
If you answered yes above, please elaborate.
Grade for 2021-2022 *
Student T-Shirt Size
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Any learning concerns we should be aware of?
What goals do you or your child have for this fall? How can we best make sure we tailor to their needs?
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.
How did you hear about the Lexington Debate Institute? *
Did someone refer you to the Lexington Debate Institute? *
Any additional comments or questions?
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.
After signing up, we will email you a personalized Paypal payment request. Please include your Paypal information here, along with any eligible discounts (e.g. financial aid, returning student, multiple signups). *
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