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Spelling Bee Champion Speller Form

No ties please. One first and second only.
Please submit this form by January 15, 2010
 
Our Champion Speller is:
First Name: 
Last Name: 
Age:
Grade:
Address:
City/Village:
Zip Code:
Champion's Phone:
 
Our second-best speller is:
Age:
Grade:
 
Has your Champion previously won a Spelling Bee?
Dictionary: Yes   No
Thesaurus: Yes   No
 
School:
Street or R.R. No.:
City/Village:
Zip Code:
County:
Phone:
School Coordinator:
Prefix: 
First Name: 
Last Name: 
 

 
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