Memphis Debate Summit Registration

                                                      
This permission form covers your child’s participation in all 2015-16 Shelby Debate Society programming including but not limiting to all Tournaments, Workshops, and Memphis Debate Summit.  To participate please fill out and submit our student application form below. If you have any questions regarding this application, please contact Executive Director, Dwight Fryer at  901-249-6749 or dwight.fryer@shelbydebate.org.

Registration forms gather information about debaters essential to the operation of of the Shelby Debate Society (SDS).  SDS may share information with the National Association for Urban Debate Leagues (NAUDL). SDS and NAUDL use information to improve and grow urban debate programs. SDS and NAUDL may use data to measure your academic progress.  SDS and NAUDL do not share, sell, rent or trade personally identifiable information with third parties for their promotional purposes.  If you have additional questions please consult our posted privacy policy.
Debater Information




If you do not have a middle name please respond N/A.















Emergency Contact Info




Insurance Information




Parent/Guardian Information


If you do not have an email address please respond na@na.com
Parent/Guardian Consent

Permission to participate in the SDS.  I do hereby consent that my child may participate in the stated activity, and in consideration for the Shelby Debate Society (SDS) giving its time and supervision of such activity, do hereby personally on behalf of my child, absolve and release the SDS, its agents and volunteers from any claim of personal injuries which might be sustained by my child while participating in such activities, or while returning to his/her home.

Media Consent.  I give permission for the SDS to use photographs, video, media of my child in our newsletters and promotional materials  


Help keep the Memphis Debate Summit Affordable
The Shelby Debate Society is able to offer the debate summit at little or no cost to students from Shelby Public Schools due to the generous support of public sponsors.  If you would like to help support more students gaining the opportunity to debate please contribute to our Go Fund Me campaign.

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