Poem Entry Form - mail in

Complete this form and mail it to:

Creative Communication
159 N Main
Smithfield, UT 84335

EACH STUDENT CAN ENTER ONE POEM FOR
EACH CONTEST. MULTIPLE ENTRIES MAY
DISQUALIFY YOU FROM THE CONTEST.




REQUIRED INFORMATION

















   

[*Not required but helpful in tracking down the winners]

[**Putting your teacher's name will help him or her qualify to receive a complimentary copy of this year's anthology. Each teacher who has more than five students published may qualify to receive a free copy of the book which includes their students' poems.]








 Word Count
Number of words

PLEASE CHECK YOUR SPELLING BEFORE SENDING YOUR POETRY.