Student Oratory Contest Form – Heart2Heart Educational Program

Student Oratory Contest

Personal Information

Name

First and Last

Birthdate

Grade Level

Your Address

City

State/Province

Zip/Postal

Country

Phone Number

Email Address

School Information

Name of High School

School Address

City

State/Province

Zip/Postal

Country

School Phone

School Email Address

Mentor/Teacher/Contact at School (optional)

Intended Date of Graduation

Phone Number

Email Address

Other Information

Proposed Speech Topic

Have You Begun Taking College Courses?

Have You Participated in the IRL Student Oratory Contest Before? If So, When?

Have You Won the IRL Student Oratory Contest Before? If So, When, and What Award Did You Receive?

Signatures

Student Signature

Date

Signature of Parent/Legal Guardian

Date

Please fill out this form completely.

Please submit this form by the end of the business day on February 20, 2018.

Within 48 hours of submitting this form, you will receive a confirmation email from one of our
cool staff members, confirming your registration. You will also receive a Contestant Packet with
all the details you will need to start composing your speech. We may also include a super,
secret tip sheet to help ensure your talk is dynamite.

We can’t wait to hear your awesome speech!

For more information, please email Info@IllinoisRightToLife.org or call Illinois Right to Life at
(312)-422-9300.

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