YOUTH SPEECH REGISTRATION

YOUTH SPEECH CONTEST - Please enter by OCT 1, 2025

Contestant Name

Address Line 1

Address Line 2

City

State

Postal Code

Phone Number

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PARENT/GUARDIAN NAME

Email Address

AGE

DATE OF BIRTH

As of 9/2025

GRADE IN SCHOOL

As of 9/2025

SCHOOL NAME

As of 9/2025

Organization

ex. 4-H, FFA, etc

First Name

Last Name

Email Address

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