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Poetry Competition Entry Form

Entry Form for the Lions Poetry Competition: 2017 -2018 The theme: 'Where will You be and What will You see in One Hundred years from now ' 

The title to be 'One Hundred Years'

(Note: Only use the School Year)

Student's Name .................................................................... School Year ........                       

Name of School ...........................................................................

Parent's Name .....................................................................................................................

Contact Address ..................................................................................................................

Town ................................................  Post Code .......................  Telephone ......................

 

I certify that the attached Poem is solely the work of ............................................................................

I agree to the poem being used by the Lions Clubs to promote the work of Lions in the community.

Signed .................................................................. (Parent or Guardian) Dated ......................................

The attached Poem (Entitled) ...................................................................................... does not have the authors name showing.

(Note: Lions clubs will give the entry a reference number marked on bottom of the poem and maintain a list of all entries for the purposes of judging) 

  


For Lions Club use:

 

Title ...............................................................................   

Lions Club of ..............................................................................  Entry Ref No .........................

President ...........................................................................

Contact Name/Youth Officer ..............................................

Contact Telephone ............................................................

Contact e-mail ..........................................................................................

Lions Poetry Competition: 2017-2018