Thank you for participating in New York State's 2021 Poetry Out Loud competition!

Please answer all of the questions in the form below. You will also be asked to upload a Media Release Form signed by a parent or guardian. After you submit this form, please upload your three poem recitation videos to the Dropbox folder. Be sure to follow the instructions we provided on the correct way to name each of your video files. If you have any questions, contact us at pol@twc.org. The deadline to submit this form is January 8, 2021.

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* 1. Your First Name

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* 2. Your Last Name

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* 3. School

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* 4. Gender Pronouns

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* 5. Grade

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* 6. Round #1: Poem title and author 

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* 7. Round #2: Poem title and author 

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* 8. Round #3: Poem title and author

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* 9. Round #1: Bio (no more than 5 lines)

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* 10. Round #2: Bio (no more than 5 lines)

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* 11. Round #3: Bio (no more than 5 lines)

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* 12. Your email

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* 13. Parent/Guardian or School Coordinator's name

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* 14. Parent/Guardian or School Coordinator's email

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* 15. Upload a completed Media Release Form

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.
Choose File

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* 16. Check here to confirm that you have uploaded your three video performances to our Dropbox folder.

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* 17. By checking the following box, you affirm the statement below:

"I certify that my Poetry Out Loud recitations(s) were performed from memory and the video(s) I submitted were not edited or altered in any way. All recitations follow the Poetry Out Loud competition criteria and are true to the best of my knowledge."

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