WV Division of Culture and History

Return form to: Cicely Bosley WV Division of Culture and History The Culture Center, State Capitol Complex 1900 Kanawha Blvd., East Charleston, WV 25305-0300 Phone: 304-558-0240 - Fax: 304-558-3560

Finalist Registration deadline for submission: January 30, 2013 Complete and return this form immediately following your school competition

School:

Teacher:

School Champion Name:

School Champion Parent/Guardian Name:

Home Mailing Address (city, state, zip):

Champion Phone:

Champion Email: *Important and time sensitive contest information will be shared via email POEM SELECTION Please read carefully  The order in which poems are submitted is the order in which they will be performed – no changes.  Poems must be selected from the Poetry Out Loud anthology, either the online or print edition - no exceptions. Make sure poems are selected from the most recently updated anthology.  At least one poem must be 25 lines or less; at least one poem must be pre-20th century. One poem can satisfy both requirements.  Refer to www.poetryoutloud.org for rules, eligible poems, and tips on poem selection and performance.

Title Author 1. Pre 20th Century? 25 lines or less?

2. Pre 20th Century? 25 lines or less?

Updated 08/21/12 CJB Return form to: Cicely Bosley WV Division of Culture and History The Culture Center, State Capitol Complex 1900 Kanawha Blvd., East Charleston, WV 25305-0300 Phone: 304-558-0240 - Fax: 304-558-3560

Runner-Up Registration deadline for submission: January 30, 2013 Complete and return this form immediately following your school competition

You may submit one student name as a runner-up. In the event your finalist cannot participate in the State Finals, the runner-up may compete. In the event that your runner-up cannot attend, your school will forfeit the competition. Runner-up Name:

Runner-up Name:

Runner-up Parent/Guardian Name:

Home Mailing Address (city, state, zip):

Runner-up Phone:

Runner-up Email: *Important and time sensitive contest information will be shared via email

POEM SELECTION Please read carefully  The order in which poems are submitted is the order in which they will be performed – no changes.  Poems must be selected from the Poetry Out Loud anthology, either the online or print edition - no exceptions. Make sure poems are selected from the most recently updated anthology.  At least one poem must be 25 lines or less; at least one poem must be pre-20th century. One poem can satisfy both requirements.  Refer to www.poetryoutloud.org for rules, eligible poems, and tips on poem selection and performance.

Title Author 1. Pre 20th Century? 25 lines or less?

Updated 08/21/12 CJB