Student Contact Information

Please note that this application does not autosave as you go through. Please draft your responses in a word document and copy over when you are ready to submit. A full PDF of the application can be found on the USA Debate page here.

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* 1. Student Legal Name

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* 2. Student Nickname (optional)

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* 3. Student Mailing Address

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* 4. Student Email Address

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* 5. Student Cell Phone (with area code)

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