East Lake County Library's 12th Annual Poetry Contest

Online Entry Submission Form

Fill out the required information and then follow the steps to upload your work in PDF or Microsoft Word format. If you provide an email address, you will receive a copy of the submission email for verification that your entry was sent.

* denotes a required field.

Release/Entry Form
* Name:
* Mailing Address:
* City:
* State:
* Zip:
* Phone:
E-mail:
Age Group:
Please provide the following if under 18 years old:
Parent/Guardian Name:
Parent/Guardian Phone:
   
Please provide a name for your file you are uploading. This helps us retrieve it from our server. Files must be a PDF (.pdf) or WORD (.doc, .docx) document.
Document Name:
Upload Your File:
   
Terms and Agreement for Online Sumission
  • Submission of this form is equivalent to submission of a hard copy of the release form.
  • Checking the box below is equivalent to your signature of the hard copy of the release form.
  • Checking the box below and submitting the form constitutes a release to reprint the attached work for public distribution and to display it in the Lake County Library News, Official Website and other library publications.
  • This is a free service to residents, therefore the County cannot compensate the author.
  • If your work is selected, you will be contacted with specific information.
  • Submission of work does not guarantee publication.
  • Any entries received after the first three will be discarded.
Check this box to acknowledge that you have read and accept of the terms stated above.