Registration Form (1 per participant)


Registration deadline is September 19.

Student’s Name: ___________________________________________________________________

Student’s Home Address:____________________________________________________________

e-mail Address:____________________________________________________________

Teacher’s Name: __________________________________________________________________

e-mail Address: ___________________________________________________________

School Name & Address: ___________________________________________________________

e-mail Address: ____________________________________________________________

Office Phone: __________________Home Phone:_________________

Cell or Classroom Phone: ___________________

Language: French Spanish German Latin

Level: 1 2 3 4/5

** If you are on the 4X4 block schedule, students who are not currently enrolled in a foreign language but will be next semester may enroll and compete at the level which they completed.

Mail to : Sally Weiland, 114 Woods Street, Darlington, SC 29532

If you have any questions you any contact:

Sally Weiland (843) 393-9827 (Home)
(843) 230-2725 (Cell)
(843) 398-2770 (School)

** If you have a student or a group who would like to perform at the awards ceremony,
let us know asap!!!! If you need a piano, let us know.