EmailMe Form - Winter Creativity Contest

EmailMeForm

Participant Name *
First Last
Address *

Street Address City State Zip Code
Email *

Confirm Email *
Phone *
### - ### - ####
School Name *
Grade *
Age *
My neighborhood Library branch is: *
Beatley Central
Barrett Branch
Burke Branch
Duncan Branch
Outside of Alexandria
Rules, Guidelines & Entry
Participants must be in middle school or high school (grades 6-12) to be eligible to win. This contest is a "free write" or open-ended contest, which means there are no writing prompts. Entries can be about any topic and written for this contest, from school assignments, or from other events. Please choose the format that best represents your entry. Only one entry is permitted per category. Entries found to have been plagiarized will be disqualified, and participants will be barred from future participation.
Contest Writing Category *
Entry Title *
Upload contest entry *
Contest entry must be uploaded as a Word document (.doc or .docx) or PDF. Please remove identifying information, such as your name or school, if applicable.
Student Agreement *
Yes
No
I have followed the rules and guidelines as outlined; my work is original work. If my writing is selected, I agree that the Alexandria Library and/or designated media outlets may use my work, including reproducing it digitally and/or in print.
How did you hear about this contest?
Parent/Guardian Permission
Please provide contact information for a parent/guardian. The parent/guardian will be contacted by Alexandria Library staff to confirm participation and contest agreements.
Parent/Guardian Name *
Parent/Guardian Email *

Confirm Parent/Guardian Email *
Parent/Guardian Agreement *
Yes
No
I have read the rules and guidelines and allow my child to submit an original written work to the Alexandria Library. I understand that this work may be reproduced by the Alexandria Library and/ or used in other designated media outlets (using only first name and last initial to identify).

For questions, please contact esimmons@alexlibraryva.org

Rules, Guidelines & Entry

Parent/Guardian Permission