Rozzie Reads Poetry: Performer Information Form
Please answer the questions below so that we may contact you regarding Rozzie Reads Poetry. We will NOT share your contact information with anyone outside of Rozzie Reads Poetry. Thank you so very much! We will be in touch with you shortly!
Sign in to Google to save your progress. Learn more
What is your first name? *
What is your last name? *
What is your telephone number? *
May we text you at this telephone number? *
What is your e-mail address? *
What is your first choice poem? *
Please write the COMPLETE title of the poem as well as the poet's LAST name.
What is your second choice poem to read at this event? *
Please write the COMPLETE title of the poem as well as the poet's LAST name.
How did you learn about Rozzie Reads Poetry? *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.