Spring 2023 Online Debate Team

2023 Lumos Spring Half-Semester Debate Team Registration Form
- Debate Team is for current grades 6-10.
- Meets weekly for 6 consecutive weeks with one debate tournament.
- Debate tournament will be held on Saturday, May 14.
- Students will be grouped by experience.
- Siblings registering? If so, Lumos offers a 5% sibling discount which is issued as a refund within 48-hours of registration.
- Questions, please email Glory Eke at gloryeke@lumosdebate.com.
** If your desired session is sold out, please click here: Signup for Notifications!
Choose a program for your child*
Student Name*

First NameLast Name
Student Gender*

MaleFemale
Student Date of Birth*

MonthDayYear
Date
Student 2022-2023 School Year Grade*
Student Email*
example@example.com
What school does your child attend?*
Has your child previously attended a Lumos program?*

Yes, attended a Summer ProgramYes, attended a Trial WorkshopYes, attended a Lumos ClubNo
Has your child attended a debate tournament?*

YesNo
Friend request (to be placed in same group):
Do you have any additional information or requests for our staff?
How did you hear about Lumos Teams?*

FacebookFrom a FriendGoogle SearchLumos AlumniPTO EmailReferred by MathnasiumWeChatGroup
Parent 1 Name*

First NameLast Name
Parent 1 Email*
example@example.com
Parent 1 Mobile*

Area CodePhone Number
Parent 2 Name

First NameLast Name
Parent 2 Email
example@example.com
Parent 2 Mobile

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Don't forget your promo code! Please use all caps when entering. *

Lumos Debate Team$695.00

Enter coupon

Total $0.00

Credit Card Details
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Credit Card Number	Security Code
Card Expiration

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