The Texas Speech & Debate Camp

Name:                                                Email:

Address:                                           Phone:

School:                                             Coach:

Rank events you are interested in:

___CX Debate                     ___ Extemp             

___LD Debate

Level of Competition:

___ Varsity   ___ Novice                          Grade:

Briefly describe your competitive experience on the back.

Suite-mate preference:                             CX Partner preference:

 Male / Female

__________________________________                    ____________________

Parent Signature                            Date                           Print Name of Parent

Wavier Release, Indemnification Agreement and Medical Release must be completed.  Proof of Medical Insurance is required.

Deadline May 15.  Include $150 deposit, non refundable or transferable. Full payment must be received by June 1.  Total cost $600.

Mail form to:                                                                         For further information contact:

Tim Cook                                                                              tim@extemptopicanalysis.com

Belton, TX 76513

                                                                                                                                                                                                Back to TS&D Camp