[Form] 21st Century Event Registration (Jan-Feb 2024)

Upcoming Events: Jan-Mar 2024

Registration Form (Jan-Mar 2024):

Participant's Name *

Please use their first and last name.

Parent's Name *

First and Last, thanks.

Participant's Email

Please DO NOT use the parent's email for this.

Parent's Email *

To reach parents with important updates.

Participant's Phone

Please DO NOT use the parent's phone for this.

Parent's Phone *

To reach about important/urgent matters.

Event (& Date) *

None. Unable to attend any of these.
[Feb 10th] Wyatt Debate League
[Feb 17-19] Harvard University
[Feb 17th] Concordia University
[Mar 1-2] 21st Century Championship
[Apr 13th] Wyatt Debate League

Please mark all that apply. You will not be charged until you are confirmed (and agree). *Cost: $125-150 per person.

Participant's Grade *

Prior Debate Experience *

Participant's Role *

Please list, or describe your preferred partner(s)... *

Please list the names of the people you would most enjoy having as your partner? or describe what you are looking for in a debate partnership.

Additional Questions/Comments (from Participant):

Contact Information

Bill Eddy (aka Coach Bill),
Email: BillEddy@21stCenturyDebate.org
Phone: 714.655.8135 (I prefer text)
Note: When contacting me, please include your name and class information (day/time). Thanks!