Southern Illinois POL School Registration Form
Welcome to Poetry Out Loud! Please use this form to register your school to participate in this year's contest. If you have any questions, please contact Poetry Out Loud Regional Coordinator at Carbondale Community Arts, Stephanie Dukat at sdukat@carbondalearts.org, or by phone at (618)457-5100.

Southern Illinois Regional Competition - Wednesday, February 28, 4 pm at Artspace 304
Illinois State Competition - Friday, March 9, 10 am in Springfield, IL

TEACHER'S GUIDE: All of the information needed to participate in POL can be found at http://www.poetryoutloud.org/teaching-resources/

Email address *
School Name
Your answer
School Street Address
Your answer
City
Your answer
State
Zip *
Your answer
County *
Your answer
Lead Contact First Name *
Your answer
Lead Contact Last Name *
Your answer
Lead Contact Phone Number *
Please include necessary extension (example 123-456-7890 ext.111)Your answer
Your answer
Lead Contact Email *
Your answer
Number of Students Participating in POL
Total number of students from all classrooms.
Your answer
Number of Teachers Participating in POL
Your answer
Principal Name *
Your answer
Principal Email *
Your answer
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