Poetry Contest Entry Form
Today's Date
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Month
-
Day
Year
Date
Poet's Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Email
example@example.com
Age Group
Elementary School
Middle School
High School
Adults (18+)
Poem Title
Upload your poem here as JPEG, PNG or PDF.
Browse Files
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Please title the file with the poet's name, the title and the submission date as well if possible.
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