TEXAS STATE JAPANESE LANGUAGE SPEECH CONTEST REGISTRATION

Thank you for your interest in competing in the 2018 Texas State Japanese Language Speech Contest.

Complete the form below to register for the contest.  Registration will be open through 5PM February 28, 2018.

Please be sure to review the contest HANDBOOK for more information on format and eligibility.

PERSONAL INFORMATION
Participant Name (in English) *
Participant Name (in English)
Participant Name (in Japanese) *
Participant Name (in Japanese)
(Please use katakana or romaji. Ex. ジョン・スミス or Jyon Sumisu)
Participant Date of Birth *
Participant Date of Birth
Participant Phone *
Participant Phone
Participant Address *
Participant Address
SCHOOL INFORMATION
(if applicable)
School Grade *
Please provide your instructor's full name. Should you study independently, please enter N/A.
JAPANESE ABILITY
Do you have a parent that is Japanese (issei)? *
Do you have a parent that is a native speaker of Japanese? *
Is Japanese spoken at home? *
Please state answer in years and months.
How have you studied Japanese? *
Please check all answers that apply.
Please state all other study methods used.
Have you ever lived in Japan? *
Please state answer in years and months.
Have you ever studied in a study-abroad program? *
Please state answer in years and months.
Have you ever attended school in Japan or attended a "hoshuko" outside of Japan? *
Please state answer in years and months.
Have you ever participated in a Japanese speech contest? *
Please provide contest name(s), competition year(s) and competition division(s).
COMPETITION CATEGORY
Select the division that you would like to participate in. *
You may select up to two divisions, only if one of them is Division III: Skit. Please refer to the Handbook to confirm the requirements for each category.
Select the regional contest you competed in. *
Place Awarded *
Please state the title of your speech/skit. Should your competition category not require the creation of original content, please enter N/A.
Please summarize your speech/skit in 100 words or less. Should your competition category not require the creation of original content, please enter N/A.
If you are competing in the haiku division, please submit your original haiku (in Japanese) here.
Please identify the word in your haiku that serves as the "kigo."
CONSENT AND ACKNOWLEDGMENT
In consideration of the right to attend and participate in the Houston Regional Japanese Language Speech Contest (Contest), the Participant (and, if the Participant is a minor, his or her legal guardian) agrees that, prior to participation in the Contest, documents will be signed whereby they: *
By clicking on the boxes below, the Participant (and, if the Participant is a minor, his or her parent or legal guardian) agrees to execute a waiver and release of liability form and submit to the Contest prior to participation.
PARENT/LEGAL GUARDIAN
Parent/Legal Guardian Name
Parent/Legal Guardian Name
Please complete if under the age of 18.
Parent/Legal Guardian Mobile Phone
Parent/Legal Guardian Mobile Phone

If you have trouble submitting this form online, please contact pybrown@jas-hou.org