Oregon Poetry Out Loud School Registration
To be filled out by lead teacher and submitted by January 11, 2019
If you have questions or need assistance with this form, contact Briana Linden at oregonpol@gmail.com.
School name *
Your answer
Lead teacher's name *
Your answer
Job title *
Your answer
Email address *
To receive important POL info and updates
Your answer
Address *
To receive POL Teacher Packets (please note if you would prefer to not receive packets)
Your answer
City *
Your answer
Zip code *
Your answer
Work phone *
Your answer
Cell/other phone
Your answer
School type *
# of students estimated to explore a poem through Poetry Out Loud *
Your answer
Expected school contest date *
(We will follow up in January to confirm)
Your answer
Expected school contest location
Your answer
Please list all other participating teachers *
All teachers listed will receive a free copy of the POL teacher's packet. Please include name, title and email of all participating teachers. Please note if you would prefer to not receive packets; all materials are available digitally at www.poetryoutloud.org.
Your answer
Briana Linden, Northern/Central/Eastern Oregon Coordinator
Clancy Rone, Southern Oregon Coordinator
Deb Vaughn, State Coordinator

www.oregonartscommission.org/poetryoutloud
www.poetryoutloud.org

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