Acton Debate Institute 2021 Class Registration
Thank you for your interest in Acton Debate Institute! You will receive a class level placement form and more information about Zoom access later in the fall. We look forward to working with you. Please feel free to contact us at ActonDebateInstitute@gmail.com with any questions.
Student 1 Name
*
First Name
Last Name
Student 1 Email
*
example@example.com
Student Grade (2020-2021)
*
5
6
7
8
Student 1 Class
*
Thursday 7PM-8PM
Saturday 5PM-6PM
Student 2 Name
First Name
Last Name
Student 2 Email
example@example.com
Student Grade (2020-2021)
5
6
7
8
Student 2 Class
Thursday 7PM-8PM
Saturday 5PM-6PM
Parent 1 Name
*
First Name
Last Name
Parent 1 Email
*
example@example.com
Parent 2 Name
First Name
Last Name
Parent 2 Email
example@example.com
Home Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Speech and debate experience
This will be my first speech and debate program
I have attended one or more public speaking programs, but this will be my first debate program
I have attended one debate program before
I have attended two or more debate programs before
If applicable, who referred you to ADI or who did you refer to ADI?
Please list the name and town of another ADI student who will be joining us this spring.
Please choose your registration option. You may utilize the drop-down quantity option to enroll one or multiple students (siblings).
*
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Registration
If you refer a friend later on, please contact us at ActonDebateInstitute@gmail.com to receive a $25 discount!
$
250.00
Quantity
1
2
3
4
5
Registration w/ Referral Discount
Save $25/student if you referred or are referred by a friend, or if you are registering with a sibling!
$
225.00
Quantity
1
2
3
4
5
Credit Card
First Name
Last Name
Credit Card Number
Security Code
Expiration Date
Postal Code
I heard about ADI's 2021 session from ...
Social media (WeChat, Facebook, Instagram, etc.)
Word of mouth from a friend
Attending a prior ADI session
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