Houston Regional Speech Contest Form

The 24th Annual Houston Regional Japanese Language Speech Contest

February 16, 2013

Application Form

To ensure that we obtain all of the necessary information for each contestant, please provide us with all the data requested below. Thank you for your consideration.

First Name:

Last Name

Current school grade:

School Name

Home Address:

City:

State:

Phone Number
(Daytime including area code):

Email:

Have you ever lived in Japan? If so, for how long?

Have you ever studied on a study-abroad program ? If so , for how long?

From:

To:

Have you attended school in Japan, what age were you when you started?:

Have you ever attended Hoshuko (Japanese language school)? Yes No

If yes, for how long?

Did you ever participate in a Japanese Language Speech Contest before? If so, where?

Please select the division that you will be participating in:

PARENT OR GUARDIAN - PLEASE READ

By checking the box (below), you are giving your son/daughter permission to participate in the 24th Annual Houston Regional Japanese Language Speech Contest which will be held on February 16th, 2013. I hereby release his/her Japanese teacher, his/her school and all parties of sponsors for the February 16th, 2013 Speech Contest from any liabilities (should any incidents occur during the contest).

By checking this box, I am agreeing to the Parent/Guardian terms and conditions of the information above.

Enter the code

The 24th Annual Houston Regional Japanese Language Speech Contest

Application Form

Newsletter