Writing Contest Entry

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* 1. Student First Name

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* 2. Student Last Name

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* 3. Student Email Address

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* 4. Student School Name

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* 5. Grade Level

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* 6. Parent First Name

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* 7. Parent Last Name

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* 8. Parent Phone Number

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* 9. Parent Email Address

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* 10. Mailing Address

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* 11. City

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* 12. State

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* 13. Zip

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* 14. Submission Genre

Poetry

Fiction

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* 15. Submission Title

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* 16. Submission Word Count (If you are having trouble meeting the word count requirement, please register for our Creative Writing Workshop.)

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* 17. Are you interested in attending a one-hour creative writing workshop to discuss your writing and your genre?

Yes

No

Maybe

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* 18. If selected as a winner, I give my permission to Peer Power to publish my name and my submitted piece.

Yes

No

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* 19. Upload your submission here

PDF, DOC, DOCX file types only.