20 th Annual Japanese Language Speech Contest in Texas

San Antonio Regional

Entry Form

 

Last Name_____________________ First Name_______________________________

 

Name in Katakana ____________________________________________

 

Address________________________________________________________________

 

City__________________________________State______ZIP____________________

 

Telephone_______________________ E-mail _________________________________

 

Age___________

 

Division (Please circle one) Div. I, Div. II, Div. III, Div. IV, Div. V

Have you traveled to Japan before? Yes No

 

If yes, please indicate the dates and duration of the stay:

 

______________________________________________________________________

If you attend school, please indicate the name of the school and the grade or level:

 

School ___________________________________ Grade or level__________________

If you are taking Japanese at school, please list your teachers name and contact information:

 

Name___________________________________________________

 

Tel______________________________ E-mail _______________________________

 

Please indicate your agreement with the following statement by signing the line below

gI will present my speech in the 20 th Annual Japanese Language Speech Contest at San Antonio College on Saturday, February 7, 2009. I understand the regulation and time limits specified by the Japan-American Society of Texas and will abide by the judgesf final decisions.h

 

_________________________________________________ ________________________

Applicantfs Signature Date

 

 

_________________________________________________ ________________________

Parent or Guardianfs Signature Date

(If contestant is under 18 years of age)

Application must be postmarked E-mailed by Saturday, January 24. No exceptions will be made. Please complete and submit this form to: Japan-America Society of San Antonio, 847 E. Hildebrand, San Antonio, TX 78212 or E-mail: tamaki@jas-sa.org