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Whitman National Debate Institute (WNDI) Registration Form 2014
(Submission instructions below)
Name:
Parent/Guardian Names:
Address:
City/State/Zip:
Parent's/Guardian's E-Mail:
(
Your Cell Phone:
)
Parent's/Guardian's Phone:
Email:
Grade (2014-15):
⃝ 5-8
9
10
11
12
Date of Birth:
(Mark one option)
Coach's Name:
SESSION INFORMATION
High School:
Policy Debate
School Address:
Three Week Policy (6/22-7/12)
$250
City/State/Zip:
Two Week Policy (6/22-7/5)
$250
One Week Policy (6/22-6/28)
$250
(
School Phone:
Deposit
)
Circle One Event:
LD / PF / Extmp
Deposit
Note: $250 Deposit is due at registration. The deposit will be deducted
One week (Option A) (6/29-7/5)
$250
from tuition and the tuition balance is due July 19th for all sessions.
One week (Option B) (7/6-7/12)
$250
Total cost: $2,200 (3 weeks), $1,550 (2 weeks), $800 (3 weeks)
Two Week (6/29-7/12)
$250
Dormitory Information
If yes, please explain:
Gender: Male / Female
Have a roommate request:
Yes / No
Name of roommate request:
__________________
Have you ever been convicted of a crime other than a minor traffic violation?
Yes / No
*Note: we take safety very seriously. Multiple RAs will be monitoring each floor. All of our faculty have had criminal background checks pursuant to Washington State Law.
Financial Aid Information
We have a limited amount of financial aid to allocate. All of our sessions have been reduced in price to encourage
participation. We only encourage those with the most significant need to apply and we cannot waive the $250 registration deposit. To apply, use the space here and on an
attached sheet to briefly explain your need, including your total annual household gross income, real estate value, and if you are receiving a scholarhsip from any other source.
Applicant's Signature (Required)
Mail To:
Date
WNDI Debate Institute; 345 Boyer Ave.; Whitman College; Walla Walla WA 99362 or Email to: debate @whitman.edu (Put WNDI in the title of the email) and mail deposit and
tuition checks to the address above. Registration is only complete when the deposit is received. Make checks payable to "Whitman Debate."
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FORENSICS BACKGROUND AND EXPERIENCE (No experience necessary)
Previous Speech/Debate Workshops Attended: 2012:____________________ 2013:___________________ Other:_________________
Previous Workshop Instructors (Primary):
2012:____________________ 2013:___________________ Other:_________________
Win/Loss Record: Please indicate your total win/loss record for each of the following years when applicable. Also indicate the
division in which most of your debates occurred (varsity, junior varsity, novice) and what type of debate you did. Extempers: for
"wins," list number of final rounds, for "losses" list number of total rounds.
2011-12
Wins: _______
Losses: _____ Division:(V / JV / N)
Event: (Pol / LD / PF/ Xtmp)
2012-13
Wins: _______
Losses: _____ Division:(V / JV / N)
Event: (Pol / LD / PF/ Xtmp)
for 2013-14, see below
Last Season's Tournament-by-Tournament Record: Please provide a complete tournament-by-tournament preliminary
and elimination round record for the 2013-14 season. Extempers should provide rankings. Estimate the number of debaters
or participants in your divisions at each tournament. Complete blanks as applicable
Tournament Name
Division
# of Teams
Prelim Record
Elim Record
Speaker?
Other information? Request for a particular lab?
List other students you would like to lab with for example.
Applicant's Signature (Required)
Mail To:
Date
WNDI Debate Institute; 345 Boyer Ave.; Whitman College; Walla Walla WA 99362 or Email to: debate @whitman.edu (Put WNDI in the title of the email) and mail deposit and
tuition checks to the address above. Registration is only complete when the deposit is received. Make checks payable to "Whitman Debate."