Teens for Life Oratory Contest

 

Application

Please Print              Event - March 4th, 2017

Entry Deadline - February 28, 2017

 

Name____________________________________________________________________

Address/City/State/Zip_____________________________________________________________________

Phone_________________________________ Birthdate________________________________

E-mail Address (if desired):_________________________________________________________

Speech Topic__________________________________________________________________

School Name ______________________________________________________________________

School Address/City/State/Zip__________________________________________________________

Grade (2015-2016 school year) ___________

*Student Signature _______________________________________________________________

*Parent Signature ________________________________________________________________

      

Local Coordinator:                 Gaylord Right to Life

Address:                                  554 McCoy Road, Gaylord, MI 49735

Phone:                                     989-619-9040              Email: sjohn554@hotmail.com

 

                    Right to Life of Michigan Education Fund * 2340 Porter St., SW * Grand Rapids, MI 49509 * 616-532-2300