HIGH SCHOOL SPEECH CONTEST
(For Students In Grades: 9th, 10th, 11th & 12th)

SPONSORED BY:

Flint Area Right to Life & Black Americans for Life
_____________________________________________________________________________
Application Form - PLEASE PRINT

NAME: ____________________________________________________________________

ADDRESS: ________________________________________________________________

CITY/STATE/ZIP: ____________________________________________________________

PHONE:_______________________________ BIRTH DATE:  ________________________

EMAIL:_______________________________ GRADE (2017-2018):  ___________________

NAME OF SCHOOL: _________________________________________________________

STUDENT SIGNATURE: ______________________________________________________

PARENT/GUARDIAN SIGNATURE:______________________________________________
(if Minor)

Topic of Speech (Please Check One):

__Abortion      __Morning After Pill      __RU486 Pills

__Embryonic Stem Cell Research      __Margaret Sanger
 

Contest Date: March 3rd, 2018; 
Please return this form by February 26th, 2018 to:

FLINT AREA RIGHT TO LIFE
G-4482 N. Genesee Road, Unit C, Flint, MI 48506
Phone: (810) 250-0218; Email: FlintRTL@att.net
VISIT US ON THE WEB: www.FlintRTL.com

Contestants will present their speech in the order their application is received.

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