Sonnet Competition Student Entry Form



The Shakespeare Club of Western Australia Inc.
Sonnet Competition Student Category Entry Form
Do not put your name on your sonnet entries
Full Name


Address


Phone Number


E-mail


Name of WA Secondary School:

Year Level in 2016:
Year of Birth:


Titles:
(Up to three sonnets may be entered)
1.    _____________________________
2.    _____________________________
3.    _____________________________




Number of Entries @ $5: ..........
Total Payment: …………………
I am paying by:  Cheque OR Money Order OR Bank Transfer
(If paying by Bank Transfer, complete the boxes below.)

Transfer made to Bankwest $........ Date……………
Bankwest BSB 302-162    Account No. 0881937
The Identifying Name on the transfer to Bankwest is:

………………………………………

Privacy Notification: The information requested is being collected by the Shakespeare Club WA only for the purposes of this sonnet writing competition.

Student Declaration:
I declare that this entry is an original work. I have not copied all or part of it from another writer. I have not taken someone else’s work and put it in my own words. My entry has never before been published. I have read the Competition Rules.
Signed:
Date:

I, the parent/guardian, give permission for my child's entry and contact details to be given to the Shakespeare Club of Western Australia, to be used only in the event of my child's winning a prize or having an entry considered for publication. I have read the Competition Rules.   
Name of parent/guardian:
Signed:
Date:







 

Copy and paste the form to print it out for completion and mailing.

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