Japanese Speech Contest Entry Form

Name:   ____________________________   _________________________    Grade: __________
English                                           in Katakana

Home Address: ___________________________________________________________________

Telephone Number:  _______________________ (The number we can reach you on the day of the speech contest.)

School Name:  ________________________ Japanese Teacher’s Name: _____________________

 

Entry Category: Circle your entry category.     #1     #2     #3     #4    #5

 Free Speech Title __________________________                                         T-shirt size ____________

Category

Students’ levels

#1

Poetry Recitation I

The first year students,level 1 students.

#2

Poetry Recitation II

The second year students, level II students

#3

Poetry Recitation III

The third year students and above,  level III & IV students

#4

Free Speech

6th-12th, any level

#5

Free Speech

College students

 

Signatures: 

I will participate in the Japanese Speech Contest.

________________________________________________    _______________________
Participant’s signature                                                        Date

I approve the student’s level.

________________________________________________    _______________________
Teacher’s signature                                                        Date

 

I give my son/daughter _____________________________ permission to participate in the Japanese Speech Contest to be held on February 9, 2008 at Ted Polk Middle School.  I understand that the final contestants will be recorded in videotape.  I hereby release his/her Japanese teacher, his/her school, Dallas Japanese Association and Japanese School of Dallas from any liabilities should any accidents occur during the contest.

________________________________________________    _______________________
Parent/Guardian signature    (not necessary if you are over 18 years old.)    Date

 

 

You must turn in this application by Friday, January 25, 2008.  No exceptions will be made.  Please print or type this form.

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