STUDENT POETRY CONTEST ENTRY FORM
1. Copy and paste (Ctrl+A then Ctrl+C to copy; Ctrl+V to paste) the following form into a new message using your email program.
2. Fill out all of the fields. PLEASE DO NOT USE ALL CAPS or all lowercase.
3. Once it is complete click "Send" through your email program to pepstudentpoetry@shaw.ca on or before November 26, 2021. 
4. Be certain to properly cite and credit any sources as necessary. Visit our Plagiarism and FAQs page. 
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First Name:
Middle Name or Initial:
Last Name:
Grade (K-12):
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Contests are only open to students attending school in Canada. Mailing address in Canada is also required.
Mailing Information (for Canada Post, not email - remember to include PO Box, rural route, or apartment number if needed)
Mailing Address:
City:
Province:
Postal Code:
Phone (with area code):
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How did you hear about our contests (online search, teacher, poster, friend, participated previously, etc.):
E-mail address:
Join mailing list (yes or no):
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School Information (required, including teacher contact, even if entering on your own)
Teacher:
School Name:
School Address:
School City:
School Province:
School Postal Code:
School Phone (with area code):
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Additional comments to judges (special needs, ESL, etc.):
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Author biography (approx. 30-60 words written about yourself in the third person (using he/she/ etc. rather than I)):

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Title of Poem:
# of lines (maximum 32):
Your entry will be disqualified if it is found to be over these limits.
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Copy and paste your poem below or attach (do not embed) a .doc or .txt file (preferred) or a .pdf or legible .jpg file (acceptable) (NO .PAGES files or Google doc links please):