Verse & Prose Competition form

1
What is your name?* This field is required.
First Name
Last Name
2
What's you date of birth?
Date
Year
Month
Day
3
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4
If applicable, please provide your LAMDA Exams Learner's PIN.If you have taken a LAMDA Exam previously, you will have been provided with a Learner's PIN when entering your exams. Please provide this here if known.
5
If you're successful, how would you like your name to be printed in the publication?Add your preferred name below
6
What are your preferred pronouns?Please let us know your preferred pronouns for our marketing purposes e.g. announcements on social media
She/Her
He/Him
They/Them
Other
7
What's your address?
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
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United States
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Belize
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Brazil
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China
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Cocos (Keeling) Islands
Colombia
Comoros
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Cook Islands
Costa Rica
Cote d'Ivoire
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Cuba
Curaçao
Cyprus
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Democratic Republic of the Congo
Denmark
Djibouti
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Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
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Ghana
Gibraltar
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Greenland
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Guyana
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India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
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Laos
Latvia
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Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
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Suriname
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eSwatini
Sweden
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Tajikistan
Tanzania
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Timor-Leste
Togo
Tokelau
Tonga
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Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
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Turks and Caicos Islands
Tuvalu
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United Kingdom
Uruguay
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Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
8
What theme does your poem fit into?
Home
Friendships
Objects
9
Upload your poetry submission here
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10
Name of Parent/Guardian/Responsible adult
11
What is your relationship to the entrant?
12
I First Name Last Name , parent/guardian/responsible adult of [Name of entrant] give consent for this entry to be submitted to this LAMDA Exams competition and agree to the terms and conditions.
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