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True to Life Student Contest Registration Form
1.
Student Name
2.
Speech/Video Name. *Please indicate whether you are submitting a speech or video.
3.
Address
Street Name
City
State
Zip Code
4.
Phone Number
5.
Email
6.
Parent Name
7.
Parent Email
8.
Parent Phone Number
9.
Biography Form
Church Name and City
Pastor Name
School
Grade Level and Age
Extracurriculars
10.
🗣️Biography (50-150 words) Please write out your biography, including any details that you think are relevant such as sport involvement, academic achievements, church involvement, and volunteer work. Your Biography:
11.
🔐 Consent & Verification: By signing below, I confirm that the information provided is accurate to the best of my knowledge. I grant Georgia Right to Life permission to use my name, biography, and photo in official materials, including event programs, press releases, and digital media.
12.
Parent/Guardian Signature (if under 18):
13.
If you win your local contest, do you commit to attending the state-wide contest? (NOTE: not attending the state-wide contest will forfeit your application, notwithstanding sickness and family conflicts)
Yes
No
14.
If you win the state contest, do you commit to signing a winner expectation form noting your ability to give your speech at applicable Georgia Right to Life events for the next year?
Yes
No
If you are submitting a speech or video, please download our release form here:
Release Form
and upload your signed version below or email to stateoffice@grtl.org. NOTE: a release form must be completed for each person shown in a video.
15.
Are you planning to use AI to assist in any part of your submission (e.g., idea generation, grammar help)?
Yes
No
16.
If so, please briefly explain how you plan to use it.
17.
Please upload your release form here.
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18.
Please upload a current headshot here.
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