Documente Academic
Documente Profesional
Documente Cultură
Name Address City State/Province Telephone ( Date of Birth Contestant Agreement: I have studied the rules of the contest, and I will be bound by all of the requirements. Contestants Signature Date / / ) / / Zip/Postal Code E-mail Age M F Parent or Guardian Permission: I give my permission for my child/ward to participate in this contest. Signature Relationship I, grant the Optimist Club/International my for their permission to use a picture of my son/daughter Date / /
Have you participated in any other Optimist Clubs Oratorical Contest this school year?
Yes No
public relations purposes. Optimist Club/International may use the photo in any publication they see fit. Sponsoring Optimist Club Name Sponsoring Optimist Club Number