BROAD RUN DEBATE AND SPEECH INFORMATION FORM



Student name __________________________________________ Grade _______Home Phone _______________________________ Cell ____________________________________________E-mail_____________________________________________________________Prior debate experience __________________________________________________Are you a member of the National Speech & Debate Association (formerly NFL)? _____Parent/Guardian name(s) ____________________________________________________Phone(s)____________________________________________________________________E-mail(s)___________________________________________________________________________I have read the information provided in the Welcome Letter and I understand that as a Briar Woods High School Debate Club member I represent my team, my school and my community. As evidenced by my signature below, I understand and agree to abide by the Loudoun County Public Schools rules and regulation for students participating in high school extra-curricular programs. Student Name (Print) __________________________________________________Student Signature __________________________________ Date ______________Parent/Guardian Name (print)___________________________________________Parent/Guardian Signature _____________________________ Date ____________ ................
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