NH Poetry Out Loud Student Form 2013

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* 1. Welcome to the NH Poetry Out Loud State Semi Finals!
Teachers: You are responsible for gathering this information from your school's champion and alternate champion. Completed forms must be submitted by February 23, 2013 in order for your students to be eligible to compete.
All student contact information will be kept for NH POL purposes only.

Under federal law, participation in Poetry Out Loud's State and National competitions is limited to US citizens or permanent residents. Foreign exchange students and other visitors are not eligible to compete for titles or official prizes.
Please verify that your high school champion and alternate champion are US citizens.

I confirm that my school's champion is a US citizen.

I confirm that my school's alternate champion is a US citizen.

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* 2. Your School Champion's Contact Information?
Teachers: Please check the spelling of your students' names!

Name

Age

Grade

Home Mailing Address

City, State, Zip

Student's Cell Phone

Student's Email

Home Phone

Parent's Name

Parent's Cell Phone

Parent's Email

Parent Home Phone (if different)

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* 3. School Contact Information

School Name

Teacher

Teacher Email

Teacher Home Phone

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* 4. Champion Poem Information?
Please enter the poems in order that the student will recite them. We always say "Best poem first".
Reminder: At least one poem must be 25 lines or less and one poem must be pre-20th century. Both requirements can be met by the same poem.

Poem # 1

Poem # 1 Poet's Name

Poem # 2

Poem # 2 Poet's Name

Poem # 3

Poem # 3 Poet's Name

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* 5. School Champion's Bio: 50 words or less. This will be used to introduce the student during the competitions.

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* 6. School Alternate Champion's Contact Information
Teachers: please check the spelling of your students' names!

Alternate Champion's Name

Age

Grade

Home Mailing Address

City, State, Zip

Home Phone

Student's Cell Phone

Student's Email

Parent's Name

Parent's Email

Parent's Cell Phone

Parent's Home Phone (if different)

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* 7. Alternate Champion's Poem Choices
The Alternate Champion must be ready to represent your school in the event that your Champion can not compete.
Reminder: At least one poem must be 25 lines or less and one poem must be pre-20th century. Both requirements can be met by the same poem.

Poem # 1

Poem # 1 Poet's Name

Poem # 2

Poem # 2 Poet's Name

Poem # 3

Poem # 3 Poet's Name

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* 2. Your School Champion's Contact Information?Teachers: Please check the spelling of your students' names!

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* 3. School Contact Information

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* 4. Champion Poem Information?Please enter the poems in order that the student will recite them. We always say "Best poem first".Reminder: At least one poem must be 25 lines or less and one poem must be pre-20th century. Both requirements can be met by the same poem.

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* 5. School Champion's Bio: 50 words or less. This will be used to introduce the student during the competitions.

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* 6. School Alternate Champion's Contact InformationTeachers: please check the spelling of your students' names!

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* 7. Alternate Champion's Poem ChoicesThe Alternate Champion must be ready to represent your school in the event that your Champion can not compete.Reminder: At least one poem must be 25 lines or less and one poem must be pre-20th century. Both requirements can be met by the same poem.

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* 8. Alternate Champion's Bio: 50 words or less

* 2. Your School Champion's Contact Information?
Teachers: Please check the spelling of your students' names!

* 4. Champion Poem Information?
Please enter the poems in order that the student will recite them. We always say "Best poem first".
Reminder: At least one poem must be 25 lines or less and one poem must be pre-20th century. Both requirements can be met by the same poem.

* 6. School Alternate Champion's Contact Information
Teachers: please check the spelling of your students' names!

* 7. Alternate Champion's Poem Choices
The Alternate Champion must be ready to represent your school in the event that your Champion can not compete.
Reminder: At least one poem must be 25 lines or less and one poem must be pre-20th century. Both requirements can be met by the same poem.