2010 student entry form

Complete the following form for each student entry you would like to submit. Each entry is $15. Please note that this form is for student entries only. For more information or to submit an entry for another award, please refer to the contest rules.

*Denotes required information. Your entry will not be accepted without this information.

Entry information

Provide the following information about the piece of work you are entering.

Division*

Category*

School*

Story/series title*

Brief description
of this entry*

Contributors*

Applicant information

Provide the following information about the individual submitting the above entry. (This does not have to be the contributor to the entry.)

Applicant's name*

E-mail*

Address
(line 1)*

Address
(line 2)

City/state/ZIP*

Phone*

###

####

Fax

###

####

Payment information

Choose the method in which you would like to pay for this registration. Further information on how to submit your payment will appear on the confirmation page after you submit your entry.

Payment method*

Check (via mail)