Poetry Competition Entry Form
Entry Form for the Lions Poetry Competition
(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: 2018-2019
Theme:'Homelessness'