12/13/07

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Entry Form

Margery Carlson and Marel Brown Youth Poetry Contests

Georgia Poetry Society

Name of poet:  _________________________________________________________

Poet's Age:  __________  Poet's grade in school:  ____________________________

School Name: __________________________________________________________

School address:  ________________________________________________________

City:  __________________________________   Zip+4:  ________________________

School telephone (with area code):  __________________________________________

School Fax:  _____________________________________________________________

Sponsoring teacher:  _______________________________________________________

I certify that:

          * I have read, or had explained to me, the rules for this contest.  I understand them

            and agree to abide by them.

          * The poem attached is my own original and unpublished work.

Poet's signature:  ____________________________________________________________

Teacher's signature:  __________________________________________________________

           PLEASE BE SURE TO ATTACH A COPY OF YOUR POEM TO THIS FORM.

This site was last updated 12/13/07