2012 Teen Poetry Slam Entry Form

  
Poetry Contest
Thank you for your interest in the City of Mississauga’s “Teen Poetry Slam Contest”!

1. Mississauga Central Library
301 Burnhamthorpe Road West
Noel Ryan Auditorium
Friday, April 27, 2012
7:00 p.m. – 8:30 p.m.
Ages: 13-19

Friday, April 29, 2011 7:00 p.m. – 8:30 p.m.
Ages: 13-19

2. ORIGINAL poems only.  All styles and genres welcome.  Each performer is allotted 3 minutes.  1st, 2nd and 3rd place prizes to be awarded as judged by members of Mississauga Library System’s Teen Advisory Groups, with equal weight given to poem content and performance.  No props, costumes, music or other assistive aids permitted.  Please review Contest Rules for full details.

Please fill out your information in the form below to enter.  This contest is open to individuals who: (i) have attained the age of majority in their province of residence and agree to accept and abide by the Contest Rules and Regulations; or (ii) if they have not attained the age of majority in their province of residence, have obtained the permission of their parent or legal guardian to enter this contest and agree to accept and abide by the Contest Rules and Regulations. 

By completing and submitting this form, you represent that you are of the age of majority in your province of residence, or you have the consent of your parent or legal guardian as indicated below to enter the contest.

1.

First Name
2.

Last Name
3.

Email Address
4.

Phone
5. I am between the ages of 13 and 19 years old (inclusive)

I have read and accept and agree to abide by the Contest Rules and Regulations and the City of Mississauga's Privacy Statement.

I am under the age of 18

As the parent or legal guardian of the entrant stated above I hereby grant my permission for the entrant to enter this contest and I have read and accept and agree to abide by the Contest Rules and Regulations
6. Submit your entry form.



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