Form Owner:
prairiestate.edu
Step 1 of 2: Submit
Summer Speech Camp Application
First Name
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Last Name
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Preferred Pronouns
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Address
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City
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State
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Select an option:
Illinois
Indiana
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Dist of Columbia
Florida
Georgia
Hawaii
Idaho
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code
*
Phone Number (with area code)
*
Student Email
*
Confirm Student Email
*
Parent First Name
*
Parent Last Name
*
Parent Guardian Phone (with area code)
*
Emergency Phone
*
Parent Email
*
Confirm Parent Email
*
High School
*
Year, Fall 2024
Freshman
Sophomore
Junior
Senior
Adult T-Shirt Size
S
M
L
XL
Coach's First Name
*
Coach's Last Name
*
Coach's Email
*
Event Selection
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Select an option:
Dramatic Duet Acting
Dramatic Interpretation
Extemporaneous Speaking
Humorous Duet Acting
Humorous Interpretation
Impromptu Speaking
Informative Speaking
Oratorical Declamation
Original Comedy
Original Oratory
Poetry
Prose
Radio Speaking
Special Occasion Speaking
If you chose Dramatic Duet Acting, specify partner first and last name:
If you chose Humorous Duet Acting, specify partner first and last name:
*
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