Right to Life of Michigan Education Fund
High School Oratory Contest
Application
Please Print
Contestant Name____________________________________________________________________
Address/City/State/Zip_____________________________________________________________________
Phone_________________________________ Birthdate________________________________
E-mail Address (if desired):_________________________________________________________
School Name ______________________________________________________________________
School Address/City/State/Zip__________________________________________________________
School Phone ________________________________ Grade (2011-2012 school year) ___________
*Student Signature _______________________________________________________________
*Parent Signature ________________________________________________________________
*By signing, you agree to allow Right to Life of Michigan to publicize results including your information (name, grade and hometown), speech and contest photos, as well as provide your contact information to any news media interested in stories about contest winners.
Prolife issue you will be speaking on: (circle one) *Abortion *Infanticide
*Euthanasia
Return this form by the entry deadline to local coordinator
Local Coordinator: Sherry Johnson, Gaylord Right to Life
Address: 554 McCoy, Gaylord, MI 49735
Phone: 989-732-9040 / Office 989-732-1313
Entry Deadline: Feb. 10, 2012
Local Contest Date: Feb. 18, 2012