Debate Camp Registration

Family Name/ Parent Name
Student(Required)
Parlimentary Debate Add-on
Must be 15 years old or have approval from debate coach

Additional Student
required if adding additional sibling
Parlimentary Debate Add-on
Must be 15 years old or have approval from debate coach
Additional Student
required if adding additional sibling
Parlimentary Debate Add-on
Must be 15 years old or have approval from debate coach
Additional Student
required if adding additional sibling
Parlimentary Debate Add-on
Must be 15 years old or have approval from debate coach

Address(Required)
Emergency Contact(Required)
Secondary Emergency Contact
Please provide your insurance and insurance number
Medical Consent and Release(Required)
Photo and Indemnity Release
Price: $100.00
Select a quantity of 1 for the first student
Price: $90.00
2nd Sibling Registration *if no second student enter "0"
Price: $80.00
3rd Sibling Registration *if no third student enter "0"
Price: $70.00
4th Sibling Registration *if no fourth student enter "0"
Pay by Check
*You’re welcome to send a check. Simply check the box. Checks may be made payable to Brie LeBret and addressed to: 7906 N Nine Mile Rd. Nine Mile Falls, WA 99026. Note: There will be a $25 fee for each returned check. Registration is not complete until payment is received.
Alternative Form of Payment
*Registration is not complete until payment is received. If you prefer not to pay by credit card or mail a check please contact us at aimspokane@protonmail.com for alternative options.

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