School/Org Champion Registration

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

School/Org Champion Registration - WV POL

DEADLINE FOR SUBMISSION: January 17, 2025

School or Organization *

Champion's First Name *

Champion's Last Name *

Champion's Current Grade Level *

Name of Champion's Parent or Guardian

Parent or Guardian E-mail Address *

Parent or Guardian Phone Number *

Champion's Mailing Address (Number and Street) *

Champion's City *

Champion's State *

Champion's ZIP Code *

Champion's Preferred T-Shirt Size *

Important and time-sensitive contest information will be shared via e-mail. Please double-check the spelling of the e-mail address.

Champion's E-mail Address *

Confirm Champion's E-mail Address *

POEM SELECTIONS

READ THIS INFORMATION CAREFULLY:
The order in which poems are submitted is the order in which they will be performed or viewed by the judges. No changes will be permitted.
 Poems must be selected from the Poetry Out Loud anthology, either the online or print edition - no exceptions. Make sure poems are selected from the most recently updated anthology.
 At least one poem must be 25 lines or less; at least one poem must be pre-20th century. One poem can satisfy both requirements, and may be the student’s third poem.
 Refer to www.poetryoutloud.org for rules, eligible poems, and tips on poem selection and performance.

Poem One Title *

Poem One Author *

Is Poem One Pre-20th Century? *

Yes

Is Poem One 25 lines or less? *

Yes

Poem Two Title *

Poem Two Author *

Is Poem Two Pre-20th Century? *

Yes

Is Poem Two 25 lines or less? *

Yes

Poem Three Title *

Poem Three Author *

Is Poem Three Pre-20th Century? *

Yes

Is Poem Three 25 lines or less? *

Yes

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of State of West Virginia.

Does this form look suspicious? Report

Forms