Public Speaking Registration

MCDEVCO - Public Speaking Registration
Program runs Tuesday evenings, February 10 & 17, 2026

6:00-8:00 PM
Program cost is $60.00. Full Scholarships Available.

Please contact MCDEVCO for a link to the online scholarship application - 715.298.0084 or indicate below. (Scholarships can only be offered to qualifying Marathon County residents.)
I am interested in a scholarship, please send me a link to the online application.
MCDEVCO can only accept checks or cash for payment. Please make check payable to MCDEVCO, Inc. Payment may be dropped off at MCDEVCO's offices or mailed: 100 N. 72nd Avenue, Wausau, WI 54401
Please read and complete all registration fields.
I. Participant Information:
Name*

Last NameFirst Name
Cell Number :*
E-mail :*
Where the confirmation will be sent to
Home Address:*

Street Address

Street Address Line 2

CityState

Zip Code
Where did you hear about this MCDEVCO program?

FaceBookInstagramLinkedInDirect EmailMCDEVCO WebsiteNewspaperRadioTVReferralOther
Demographic Information - optional:

Information regarding gender, ethnic origin and race are optional. The information is requested for post-scholarship report generation only and in no way affects your selection for college scholarship awards. However, providing this information may increase your opportunities for scholarships where donors have asked that priority consideration be given to students meeting certain demographic criteria (such as minority status, household income, employment status, etc.)
Gender:
Ethnic Origin:*
Please choose Veteran status:*
II. Household Income:
Please indicate the number in household:*
Please indicate your household income range:*
IV. Business

Tell us about your business and/or idea.
Business name and brief description:*
V. Authorization and Release

PHOTOGRAPH, VIDEO, and/or AUDIO RECORDING
I give MCDEVCO, Inc. (MCDEVCO) permission to use my image, voice, or name and/or name of my business in MCDEVCO educational and promotional materials in any medium. MCDEVCO may use these materials, or cause these materials to be used, for any educational, promotional, or other lawful purposes without limitation or reservation. I waive the right to inspect or approve the finished product.

I understand that I will not receive any compensation for any use of these items by MCDEVCO, and I release MCDEVCO from any liability for their use. This permission extends to MCDEVCO’s legal representatives, agents, successors, or assigns.

I certify that I am at least 18 years of age and that I am competent to contract in my own name. I have read this release before signing below, and I fully understand the contents, meaning, and impact of this authorization and release.
VI. Registrant E-Signature
E-Signature:*
MCDEVCO, Inc. is committed to equal opportunity in employment and education. The Company does not discriminate in any program or activity on the basis of race, color, religion, gender, age, national origin, disability, marital status, or any other protected class.
Should be Empty:

MCDEVCO - Public Speaking Registration

Program runs Tuesday evenings, February 10 & 17, 2026

Program cost is $60.00. Full Scholarships Available.

I. Participant Information:

II. Household Income:

IV. Business

V. Authorization and Release

VI. Registrant E-Signature