Write-A-Book Literary Competition Entry Form

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Write-A-Book Literary Competition Entry Form
Type: (Circle One)
Picture Story Book
Illustrated Fiction
Short Story
Poetry
Non Fiction
Graphic Fiction
Plays
Category: (Circle One) Individual
Group
Original photographs or artwork included: Yes ______
No______
Short Story Exact Word Count _____
Please Type or Print:
Grade: _______________
Book Title: _________________________________________________________
Author(s): _________________________________________________________
__________________________________________________________________
__________________________________________________________________
Illustrator(s) (if different from author(s): _________________________________
__________________________________________________________________
Month and Year Completed: __________________________________________
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School: _______________________________ Tel. #: _______________________
Signature of Sponsor: ____________________________ Date: _______________
Signature of Library Media Specialist: ___________________________________
Please tape this entry form to the front inside cover of each book.
Bring ALL book entries to OLMS at the Bonnie F. Johns Educational Media Center by the due date.

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