2021 National Tournament Officials Form Your Name* First Last Email Address* Cell Phone Number*School Name (as listed on NSDA site)* State*--select one--AKALARAZCACOCTDCDEFLGAHIIAIDILINKSKYLAMAMDMEMIMNMOMSMTNCNDNENHNJNMNVNYOHOKORPARISCSDTNTXUTVAVTWAWIWVWYOtherNSDA District*--select one--Mockingbird (AL)Arkansas (AR)Arizona (AZ)Big Valley (CA)Calif. Coast (CA)Capitol Valley (CA)East Los Angeles (CA)San Fran Bay (CA)Sierra (CA)Southern California (CA)West Los Angeles (CA)Colorado (CO)Colorado Grande (CO)Rocky Mountain - North (CO)Rocky Mountain - South (CO)Western Slope (CO)Florida Manatee (FL)Florida Oceanfront (FL)Florida Panther (FL)Florida Sunshine (FL)South Florida (FL)Georgia Northern Mountain (GA)Georgia Southern Peach (GA)Hawaii (HI)East Iowa (IA)West Iowa (IA)Idaho Gem of the Mountain (ID)Idaho Mountain River (ID)Inland Empire (ID)Greater Illinois (IL)Illini (IL)Northern Illinois (IL)Hoosier Crossroads (IN)Hoosier Heartland (IN)Northeast Indiana (IN)Northwest Indiana (IN)East Kansas (KS)Kansas Flint-Hills (KS)South Kansas (KS)Sunflower (KS)Three Trails (KS)West Kansas (KS)Kentucky (KY)Louisiana (LA)New England (MA)Chesapeake (MD)Maine (ME)Michigan (MI)Central Minnesota (MN)Northern Lights (MN)Southern Minnesota (MN)Carver-Truman (MO)Eastern Missouri (MO)Heart of America (MO)Ozark (MO)Show Me (MO)Magnolia (MS)Montana East (MT)Montana West (MT)Carolina West (NC)Tarheel East (NC)North Dakota Roughrider (ND)Nebraska (NE)Nebraska South (NE)New Jersey (NJ)New Mexico (NM)Golden Desert (NV)Sagebrush (NV)Hudson Valley (NY)New York City (NY)Eastern Ohio (OH)North Coast (OH)Northern Ohio (OH)Western Ohio (OH)East Oklahoma (OK)West Oklahoma (OK)North Oregon (OR)South Oregon (OR)Iroquois (PA)Pennsylvania (PA)Pittsburgh (PA)Valley Forge (PA)South Carolina (SC)Northern South Dakota (SD)Rushmore (SD)Tennessee (TN)Pacific Islands (TW)Central Texas (TX)East Texas (TX)Gulf Coast (TX)Heart of Texas (TX)LBJ (TX)Lone Star (TX)North Texas Longhorns (TX)South Texas (TX)Space City (TX)Tall Cotton (TX)UIL (TX)West Texas (TX)Yellow Rose (TX)Great Salt Lake (UT)Sundance (UT)Utah - Wasatch (UT)Virginia (VA)Puget Sound (WA)Western Washington (WA)Northern Wisconsin (WI)Southern Wisconsin (WI)West Virginia (WV)Hole in the Wall (WY)Wind River (WY)OtherIn what role were you invited to serve as a tournament official?*--select one--Main Speech TeamCX Debate TeamLD Debate TeamPF Debate TeamBig Questions TeamWorld Schools TeamCongressional Debate TeamExtemp PrepSupplemental Speech TeamExtemp Debate TeamTournament OfficeDo you accept or decline your role as a tournament official?* Yes, I accept No, I decline Did you serve in this role at the 2020 National Tournament?* Yes No Not sure All staff should plan to attend a meeting on Wednesday, June 9, at 6:00 pm CT. Individual groups will also meet on Sunday, June 13, at a time determined by the chairs.* Marked my calendar! As a thank you for your services, each tournament official may receive up to two days of judging credit or a $100 honorarium for your services.*Judge day credit may only be applied to your school for events that are eligible to have judge buy-outs (speech, Congress, supps). 2 days of judging credit $100 honorarium I would like to donate my honorarium to the Nats22 Tate Fund to help under resourced students and schools attend the tournament To earn judge credit, please add yourself as a judge for no more than 2 days in speech, Congress, or supplementals. We will assign credit and mark you as inactive!* Will do! Name to address check toFor tax purposes, we are only able to make this check out to the person providing their services. Address to mail check Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Additional Questions or Comments(optional) Please indicate any potential conflicts, concerns, etc.Demographic InfoDemographic info will be used to provide an overall baseline of representation to allow the NSDA to best target its recruitment process. This info will NOT be public. If you prefer not to answer a question, simply leave it blank. Thank you!Age(select one)18-2021-2324-3435-4445-5455-6465+I would identify my ethnicity as: I would identify my gender as: Would you identify as a part of the LGBT+ community? Yes No Prefer not to answer Would you identify as a person with a disability? Yes No Prefer not to answer NameThis field is for validation purposes and should be left unchanged.