District Speech Contestant Registration

District Speech Contestant Registration

DEADLINE FOR REGISTRATION 1/30/26
Thank you for participating in the 2026 Rotary District 6560 Speech Contest on February 7, 2026.
- This form is for you to register up to a maximum of 2 contestants to compete in the District Speech Contest.
- Registration will begin at 9 AM.
- LOCATION: Anderson University
  Hartung Hall
  1100 E. 5th Street
  Anderson, IN 46012
- Prizes will be $1000 for 1st Place, $500 for 2nd Place and $250 for 3rd Place.
- Please advise your contestants that they are expected to remain until the winner is chosen.
Everything you need to have a successful club contest is available on DACdb in the District files in a folder entitled Speech Contest.
Club Contest Chair*

First NameLast Name
Email*
example@example.com
Mobile Number*
Format: 000-000-0000.
Name of Rotary Club *
12
YesNo
Please list the names of any other Rotarians who may be attending
1. Speech Contestant Information
Name*

First NameLast Name
Title of Speech*
High School*
FreshmanSophmoreJuniorSenior
Age*
Email*
example@example.com
Mobile Number*
Format: (000) 000-0000.
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Please list the NAMES of any friends, family members or teachers who may be attending. These will be used to make nametags, so please use given names, not relationships.
2. Speech Contestant Information
Name

First NameLast Name
Title of Speech
High School
FreshmanSophmoreJuniorSenior
Age
Email
example@example.com
Mobile Number
Format: (000) 000-0000.
Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Please list the NAMES of any friends, family members or teachers who may be attending. These will be used to make nametags, so please use given names, not relationships.
Please include any notes or additional information here:
Thank you for your club's participation at Rotary District 6560's Speech Contest to be held on Saturday, February 7, 2026. Contact the District Speech Contest Chair, Debbie Webb debbie.webb@att.net with any questions.
Should be Empty:

District Speech Contestant Registration

1. Speech Contestant Information

2. Speech Contestant Information