Middle Level Participation/Reimbursement

Please complete this form within a week (7 days) of your festival. If you used SpeechWire to manage your festival, this form can be submitted directly from within SpeechWire.

Contest Information
Head Coach's Name*
First Last
Email*
Festival Site (School)*
Include city, if not part of the school's name.
Festival Date*
MM
DD
YYYY
Level*
- Level 1
- Level 2
Number of Schools*
Please enter a number from 2 to 60.
Number of Students*
Please enter a number from 2 to 1000.
List of Participating Schools (Name & Location)*
Comments/Other Information
Expense Reimbursement
Receipts for Refreshments
Drop files here or
Accepted file types: pdf, jpg, jpeg, gif, png, image.
Reimbursement Amount*
Please enter a number from 0 to 50.
Copies*
Did you produce your own evaluation sheet copies? If yes, we will reimburse you above and beyond the $50 for copies you would have ordered. You must: (1) have used SpeechWire to tabulate results, or (2) scan/email, fax, or mail a complete tabulation/results packet showing grades for each entry -- to verify entry numbers.
- Yes
- No
Check Payable to (Name)
Check Mailing Address
Street Address Address Line 2 City State ZIP Code
Signature*
Signing attests that the information contained herein is accurate.
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Middle Level Participation/Reimbursement

Contest Information

Expense Reimbursement