FIND YOUR SHINE! POETRY CONTEST

 

ENTRY FORM

 

NAME____________________________________________________________________

 

MAILING ADDRESSS:________________________________________________________

 

CITY____________________________ STATE: ___________ ZIP:__________________

 

PHONE:______________________ EMAIL:_____________________________________

 

SCHOOL:________________________________________________________________

(Include enrollment verification form (i.e. copy of schedule for FALL semester), please white-out any confidential information)

 

I hereby certify that the poem I am submitting is my original work and that all rights to this poem are mine.

 

SIGNATURE: ________________________________ DATE: _________________________

 

 

Send this form, enrollment verification and your poem to:

Find Your Shine! Poetry Contest

c/o Candice Dow

P.O. Box 2656

Columbia , MD 21045

 

For Official Rules visit: www.candicedow.com/poetrycontest.htm