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REV 2017 South Carolina Baptist Congress of Christian Education NJ BROCKMAN ORATORICAL MANUAL REGISTRATION FORM Deadline: Two weeks prior to November Contest Date Reminder: Submit ONE copy of typed speech to the Repository or via Email *See Guidelines Directions: Please type or print clearly on the entire Registration Form Contestant’s Name: _____________________________________________________________________ Contestant’s Address: _____________________________________________________________________ Street Address City State Zip Contestant’s Age: Contestant’s Phone Number: ( )___________________ Contestant’s Email Address: ________________________________________________________________ Current Grade Level ( check one): __ 7 __ 8 __ 9 __ 10 __ 11 Name of School: _________________________________________________________________________ Parent(s)/Guardian(s): ____________________________________________________________________ Parent(s)/Guardian(s) Email Address: _________________________________________________________ Parent(s)/Guardian(s) Phone Number: ( ): _______________________________________________ Youth/Oratorical Advisor: ___________________________________________________________________ Advisor’s Phone Number: ( ) ___________________________________________________________ Advisor’s Email Address: ___________________________________________________________________ Name of Local Church: ____________________________________________________________________ Address of Local Church: __________________________________________________________________ Pastor of Local Church: ____________________________________________________________________ Name of Local Association/Congress: _________________________________________________________ Local Association/Congress President: _______________________________________________________

NJ BROCKMAN ORATORICAL MANUAL REGISTRATION FORM · NJ BROCKMAN ORATORICAL MANUAL REGISTRATION FORM ... Submit ONE copy of typed speech to the Repository or via Email ... Youth/Oratorical

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REV 2017

South Carolina Baptist Congress of Christian Education

NJ BROCKMAN ORATORICAL MANUAL REGISTRATION FORM

Deadline: Two weeks prior to November Contest Date

Reminder: Submit ONE copy of typed speech to the Repository or via Email

*See Guidelines

Directions: Please type or print clearly on the entire Registration Form

Contestant’s Name: _____________________________________________________________________

Contestant’s Address: _____________________________________________________________________ Street Address City State Zip

Contestant’s Age: Contestant’s Phone Number: ( )___________________

Contestant’s Email Address: ________________________________________________________________

Current Grade Level ( check one): __ 7 __ 8 __ 9 __ 10 __ 11

Name of School: _________________________________________________________________________

Parent(s)/Guardian(s): ____________________________________________________________________

Parent(s)/Guardian(s) Email Address: _________________________________________________________

Parent(s)/Guardian(s) Phone Number: ( ): _______________________________________________

Youth/Oratorical Advisor: ___________________________________________________________________

Advisor’s Phone Number: ( ) ___________________________________________________________

Advisor’s Email Address: ___________________________________________________________________

Name of Local Church: ____________________________________________________________________

Address of Local Church: __________________________________________________________________

Pastor of Local Church: ____________________________________________________________________

Name of Local Association/Congress: _________________________________________________________

Local Association/Congress President: _______________________________________________________