2021 Maine Regional POL Registration Form

Email address *
Student Information *
Please check one.
Student's First Name *
Student's Last Name *
Student pronouns (information provided is used to properly address student in introductions during competitions, written mentions, etc) *
Student Name Pronunciation Notes (any pronunciation notes provided will be shared with program judges, Emcees, MAC staff, etc for accurate introductions)
Student Age *
Student Grade *
Student Street Address *
Student City *
Student Zip *
Student Email Address *
Student Phone Number *
Student's Parent/Guardian Name(s) *
Please provide your parent or guardian's first and last name(s). You may list more than one.
Student's Parent/Guardian Phone Number(s) *
Student's Parent/Guardian Email Address(es) *
If there is no email address available, please enter NA.
Student's School *
Student's School District *
Contact Teacher *
Please provide your contact teacher's first and last name.
Contact Teacher Email Address *
Contact Teacher Phone Number *
At the regional, state and national finals, students must have three poems prepared to recite. One poem must be 25 lines or fewer and one must be written before the 20th century. The same poem may be used to meet both criteria and may be the student’s third poem. Please list the Names of Poems and Poets in order of recitation for the Regional Competition. (These cannot be changed before the regional or state finals.) Please provide precise information as it appears in the POL online anthology at http://www.poetryoutloud.org/poems-and-performance/find-poems. *
Name of Poem 1 *
Name of Poet (poem 1) *
Type of Poem (poem 1) *
Name of Poem 2 *
Name of Poet (poem 2) *
Type of Poem (poem 2) *
Name of Poem 3 *
Name of Poet (poem 3) *
Type of Poem (poem 3) *
Student's Favorite Academic Subjects *
Student’s Interests and Aspirations *
Student’s Additional Biographical Comments
Please comment on your experience with the Poetry Out Loud program. Your comments could be feedback, a story about the school-wide competition or the experience of memorizing poetry, or recommendations for making next year’s POL program better.
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