Thank you for participating in New York State's 2022 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 name each of your video files as follows: Last Name, First Name - Round #; for example: Doe, Jane - Round 1; Doe, Jane - Round 2; Doe, Jane - Round 3. If you have any questions, contact us at pol@twc.org. The deadline to submit this form is January 24, 2022.

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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. Your video performances must be named as follows:

Last name, First name - Round #; for example: Doe, Jane - Round 1; Doe, Jane - Round 2; Doe, Jane - Round 3.

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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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