ANNUAL COLLEGE SPEECH CONTEST

SPONSORED BY:

Flint Area Right to Life & Americans of African Descent
_____________________________________________________________________________ Application Form - PLEASE PRINT

NAME: ____________________________________________________________________

ADDRESS: ________________________________________________________________

CITY/STATE/ZIP: ____________________________________________________________

PHONE:_______________________________ EMAIL:  _____________________________

CELL: _________________________ 

NAME OF COLLEGE: _______________________________________________________

STUDENT SIGNATURE: ______________________________________________________

PARENT/GUARDIAN SIGNATURE:______________________________________________
(if Minor)

Topic of Speech (Please Check One):

__Abortion   __Euthanasia    __Morning After Pill    __RU486 Pills

__Breast Cancer/Abortion Connection     __Embryonic Stem Cell Research

__Black Genocide
 

Contest Date: May 19, 2018;  Please return this form by May 14, 2018 to:

FLINT AREA RIGHT TO LIFE
G-4482 N. Genesee Road, Unit C, Flint, MI 48506
Phone: (810) 250-0218; Email: FlintRTL@att.net
VISIT US ON THE WEB: www.FlintRTL.com

Contestants will present their speech in the order their application is received.

ALL CONTESTANTS MUST BE RESIDENTS OF THE STATE OF MICHIGAN AND PRESENT STUDENT ID FROM COLLEGE



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