Register Online

Online Registration for MUDI 2013

(information provided will be for sole purpose of Marquette University Debate Institute - absolutely no sharing with third parties)

Parent Name *

First

Last

Parent Email *

Phone Number *

Student Name *

First

Last

Gender *

Female Male

High School? *

Grade/Yr. in School *

Student Email *

Address *

Debate/Speech Experience (if any)? *

Program: *

Resident Commuter

Please send nonrefundable deposit by check to enroll (minimum $100):

Marquette University Debate Institute
Diederich College of Communication
PO Box 1881
Johnston Hall, Debate Center
Milwaukee, WI 53201-1881

Amount Sent: *

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