2019 Santa Barbara County Poetry Out Loud Registration Form
Please register for the Santa Barbara County Poetry Out Loud Competition before November 30, 2018. The regional competition will be held Wednesday, February 13, 2019 from 5:30-8:30 PM at the Santa Barbara County Board of Supervisors Hearing Room in Santa Barbara.
School Information
School Name *
Your answer
School Address *
Your answer
School City *
Your answer
School Zip *
Your answer
Date of School Competition (estimated) *
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Please estimate the number of youth who will be direct participants: *
This may include the number of students in classrooms where POL will be taught.
Your answer
Please estimate the number of youth who will be indirectly reached: *
This may include the number of student audience members and students exposed to program materials.
Your answer
School Poetry Out Loud Coordinator
This will be your school's primary point of contact for the POL Program
Coordinator Name *
Your answer
Coordinator Phone Number *
Your answer
Coordinator Email *
Your answer
Additional Teachers/Coaches
Please list any additional teachers and/or coaches and their emails that will be participating in the POL program.
Coach/Teacher 1 Name
Your answer
Coach/Teacher 1 Email
Your answer
Coach/Teacher 2 Name
Your answer
Coach/Teacher 2 Email
Your answer
Coach/Teacher 3 Name
Your answer
Coach/Teacher 3 Email
Your answer
Coach/Teacher 4 Name
Your answer
Coach/Teacher 4 Email
Your answer
Coach/Teacher 5 Name
Your answer
Coach/Teacher 5 Email
Your answer
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