The Championship Debate Group

Application for Speech and Debate Institute Admission -

IMPORTANT!: IF THE APPLICATION SYSTEM DOES NOT DISPLAY A CONFIRMATION PAGE WHEN YOU PRESS SUBMIT, EMAIL YOUR INFORMATION TO INFO@THECHAMPIONSHIPGROUP.COM

Application Deadline: June 15, 2012

All Institutes are July 22-27, 2012

First name: Last name:
Gender: Male Female

Street Address: City:
State: Zip:

Date of Birth: Enter in 00-00-00 format
Email Address:

High School: Coach:
Grade in Upcoming School Year: 9th 10th 11th 12th

Legal Guardian Full Name:
Contact # for Parent or Guardian:
Roommate Preference (if Any):

Major Division:
Policy Debate
Lincoln-Douglas Debate
Prose and Poetry Interpretation
Informative and Extemporaneous Extemp

Last Year's Tournaments Attended: (List each tournament and state the division, tournament record, and any awards)

Please list the institutes you have previously attended.

Please list any special accommodations you need.

What is your T-shirt Size?
W-Small
W-Medium
W-Large
W-XL
M-Small
M-Medium
M-Large
M-XL

Deadline for registration and payment is June 15, 2012. The Championship Debate Group only accepts checks and money orders.