19th Annual Japanese Language Speech Contest in Texas
San Antonio Regional
Entry Form
Last Name_____________________ First Name_______________________________
Name in Katakana ____________________________________________
Address________________________________________________________________
City__________________________________State______ZIP____________________
Telephone_______________________ E-mail _________________________________
Age___________
Division Div. I, Div. II, Div. III, Div. IV,
(Please circle one) Div. V Div. V I Div. VII
Have you traveled to Japan before? Yes No
If yes, please indicate the dates and duration of the stay:
______________________________________________________________________
If you attend school, please indicate the name of the school and the grade or level:
School ___________________________________ Grade or level__________________
If you are taking Japanese at school, please list your teacherls name and contact information:
Name___________________________________________________
Tel______________________________ E-mail _______________________________
Please indicate your agreement with the following statement by signing the line below
“I will present my speech in the 19th Annual Japanese Language Speech Contest at San Antonio College on Saturday, February 2, 2008. I understand the regulation and time limits specified by the Japan-American Society of Texas and will abide by the judges’ final decisions.”
_________________________________________________ ________________________
Applicant’s Signature Date
_________________________________________________ ________________________
Parent or Guardian’s Signature Date
(If contestant is under 18 years of age)
Application must be postmarked E-mailed by Wednesday, January 18. No exceptions will be made. Please complete and submit this form to: Japan-America Society of San Antonio, P.O.Box 460444, San Antonio , TX 78246-0444 or E-mail: [email protected]