19th Annual Japanese Language Speech Contest in Texas

Time & Date : 1:00 - 4:00 PM, Saturday, February 23, 2008

Place : Sewall Hall, Rice University, Houston, Texas

Entry Form

Name; _____________________________Grade_________   School: _____________________________
                   in Katakana

Name;____________________________ Name of Japanese Teacher _____________________________
                    in English                                          

Home Address:________________________________________________________________________


Telephone Number;___________________________ , ____________________________        
                                  (The number we can reach you on the day of the speech contest.)

Regional participated in ___________________ Division and Prize awarded_________________________


Free Speech Title ____________________________________________ 

Entry Division for the State Speech Contest:   Div.   I    II    III    IV    V   (circle one)

            Div. I: High School (Level I) Poetry recitation (「会いたくて」)　
            Div II: High School (Level II) Poetry recitation　(「未来へ」)　
            Div III: High School (Level III & IV) Poetry recitation　(「雨ニモマケズ」)　
            Div IV: High & Middle School Free Speech
            Div V:  College & Adult Free Speech 

A reception will be held at the Residence of Consulate-General of Japan in Houston at 6:00 - 8:00 P.M on Saturday 2/23/08 after Texas Japanese Speech Contest. I will / will not attend the reception. The number of attendees including contestant;________  (Parent / parents/ sibling / siblings: circle as many as applicable).

Please list names of attendees and relationship to the contestant.

 1.  ______________________________     2. ________________________________

 3.  ______________________________     4. ________________________________                                                          
                                                                                           

I give my son/daughter ______________________ permission to participate in the 19th Texas State Japanese Speech Contest to be held on February 23, 2008 at Rice University, Houston, Texas.  I hereby release his/her Japanese teacher, his/her school, all parties of sponsors for the 19th Texas State Japanese Speech Contest from any liabilities, should any accidents occur during the contest.

_________________________________________     ____________________
Parent/Guardian signature (for under 18 years old.)            Date

The entry form must be postmarked or faxed by Friday, February 15, 2008. No exceptions will be made. Please print or type this form. 

Send to:  The 19th Annual Japanese Language Speech Contest in Texas, c/o Japan-America Society of Houston, 4801 Woodway,
Suite 140E, Houston, Texas 77056.   Tel: (713)963-0121   Fax: (713)963-8270   e-mail: [email protected]