Conference Date: June 19 - June 29, 2008

Tuition Deposit (due with application and credited toward full tuition payment - see Payment Information): $250

Please complete all fields.

Applicant Information
Name (First/Middle Initial/Last):

Street Address:

City:

State:

Zip Code:

Area Code/Phone:		Area Code/Fax:
E-mail:		Date of Birth (mm/dd/yyyy):

Name for Mock Trial Academy I.D. (if different than above):

Female Male

Adult T-shirt size: S M L XL

Course: Trial Advocacy   Advanced Trial Advocacy
(See Course Options page regarding prerequisite experience)

Referred by:
(If a previous MTA student referred you to MTA, please indicate that person's name)

Referrals:
(For MTA Alumni only, please list each person you've referred to MTA. Separate multiple names with a coma.)

How did you hear about Mock Trial Academy?

Parent/Guardian Information
Parent/Guardian Name (First/Middle Initial/Last):

Relationship to Applicant:

Street Address:

City:

State:

Zip Code:

Area Code/Home Phone:		Area Code/Work Phone:
Area Code/Fax:		E-mail:

Emergency Contact Information
Contact Name:

Daytime Area Code/Phone Number:

Evening Area Code/Phone Number:

Relationship to Applicant:

Applicant's High School Information
High School:

Street Address:

City:

State:

Zip Code:

Cumulative GPA: on a scale
Current year in school:
Year of High School Graduation:

Extracurricular Activities and/or Community Involvement:
(list relevant mock trial experience, if any)

Special Dietary Information
Does applicant require any special dietary arrangements?
Yes No
If yes, please explain:

Medical Information
Does applicant have any medical condition or disability that may affect applicant's participation in the conference or require special arrangements?
Yes No
If yes, please explain:

Will Applicant take any prescription medication during the conference?
If yes, please provide a copy of the prescription to Mock Trial Academy before the first day of the conference.
Yes No

Payment Information

Tuition deposit:
A tuition deposit in the amount of $250 is required with each student's application to Mock Trial Academy. Our Cancellation and Refund Policy applies to this deposit, as well as all other monies paid to Mock Trial Academy.

If a student's application is accepted, to reserve his or her spot in the program, the student will be required to pay Mock Trial Academy the balance of his or her $1,849 tuition ($1,599) by April 30, 2008.

If a student's application is accepted and that student fails to pay Mock Trial Academy the balance of his or her tuition by April 30, 2008, that student forfeits his or her spot in the program, as well as his or her tuition deposit.

If a student's application is not accepted, or if space is not available in the program, the $250 tuition deposit will be returned.

Applicants have the option to pay the entire tuition upon application if they so desire. Under those circumstances, if the student's application is accepted, the student will be considered paid in full and his or her spot in the program will be reserved. If the student's application is not accepted, or if space is not available in the program, the entire tuition payment will be returned.

Cancellation and Refund Policy
A tuition deposit in the amount of $250 is required with each student's application. If a student gains admission into Mock Trial Academy and then decides to cancel, the students must do so in writing.

If Mock Trial Academy receives written notice of cancellation more than 60 days prior to the start date of the conference, all fees paid less $250 will be refunded. If Mock Trial Academy receives written notice of cancellation less than 60 but more than 30 days prior to the start date of the conference, all fees paid less $500 will be refunded. If Mock Trial Academy receives written notice of cancellation 30 days or less prior to the start date of the conference, or if a student departs while the conference is in session, there will be no refund. If a student's application is not accepted, or if there is no space in the conference, all monies paid shall be refunded in full.

Wait List
If an applicant merits admission, but the program has already reached its capacity, the applicant will be placed on the Wait List. The tuition deposit paid by a wait-listed applicant will be returned to applicant on or before May 31, 2008, unless the wait-listed applicant is enrolled off the wait list. If an applicant on the wait list is not accepted, all monies will be returned.

Rules of Conduct
The applicant agrees to follow all of Mock Trial Academy's Rules of Conduct throughout the conference, which include refraining from the use of tobacco, alcohol, or non-prescription controlled substances. At Mock Trial Academy's sole discretion, any infraction of Mock Trial Academy's Rules of Conduct may result in immediate dismissal, forfeiture of tuition and additional expense to return home. Mock Trial Academy's Rules of Conduct and Housing Agreement will be provided to the student prior to the start of the conference. The applicant and parent/guardian understand that the Rules of Conduct and Housing Agreement must be signed and returned in order to participate in Mock Trial Academy.

Covenant and Release
In consideration of being accepted as a participant in Mock Trial Academy, the applicant and parent/guardian each release, hold harmless and indemnify Mock Trial Academy, its officers, directors, agents, employees, partners, endorsers and affiliates from and for any claim, injury or other liability of any kind which is caused directly or indirectly by the applicant, or which results from or during the applicant's participation in Mock Trial Academy. The applicant and parent/guardian grant Mock Trial Academy permission to use any photographs, videos, statements or recordings of the student in connection with Mock Trial Academy for all lawful purposes without compensation.

Submitting Application
By submitting this application, I attest that I have read and agree to the terms stated above.