Application for Speech and Debate Institute Admission - Application Deadline: June 15, 2010 All Institutes are July 25-July 30, 2010
Your Name:
Street Address:
City, State, Zip:
Gender:	Female Male
Date of Birth:
Best Phone #:
You must provide an email address that you will check. TCDG will send you periodic email updates.
Email Address:
High School:
School Address:
Coach:
Current Grade In Upcoming School Year:
Parent or Legal Guardian’s Full Name:
Contact Phone for Parent or Guardian:
Roommate Preference (if any):
Major Division	Policy Debate Lincoln-Douglas Debate Prose and Poetry Interpretation Informative and Persuasive Extemporaneous Speaking
Minor Division (if any):	Prose and Poetry Interpretation Informative and Persuasive Extemporaneous Speaking
2009-2010 Tournaments Attended: (List each tournament and state the division, tournament record, and any awards.)
Please list the institutes you have previously attended.
What is your T-shirt size?