2019 LEAF Poetry Contest Entry Form
Deadline for Submissions: Friday, April 12th, 2019 - Email to LEAFArtandpoetry@gmail.com - MUST BE EDITABLE, not a PDF.
One poem from each poet will be published in a free booklet unless a poet requests not to be included.
Contact Carol at 607-432-0090 x106 or LEAFArtandpoetry@gmail.com or visit Facebook.com/LEAFArtContest
Name *
Your answer
Age Category - choose one. *
If under 18, please provide parent/guardian name and email address here
Your answer
Address *
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
Phone Number *
Your answer
Email *
Your answer
By entering the contest, participants agree to provide LEAF, Inc. with publication rights to all winning poetry for the purposes of addiction prevention. *
Required
Entry #1 Title: *
Your answer
Entry #2 Title:
Your answer
Entry #3 Title:
Your answer
Please check the statements below to indicate you have read and agree to them. *
Required
Type your name here as your electronic signature. *
Your answer
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