ENTRY FORM
EPIC New Voices Writing Competition for 2005-2006 
STUDENT’S NAME: ________________________________________________________________________      
E-MAIL ADDRESS____________________________________________________________________________
MAILING ADDRESS___________________________________________________________________________ 
AGE: __________GRADE:__________NAME OF SCHOOL: __________________________________________
NAME OF COUNTRY_________________________IF IN THE USA, NAME OF STATE___________________
TITLE OF ENTRY_____________________________________________________________________________
	LEVEL CATEGORY				WRITING CATEGORY	
MIDDLE SCHOOL	__________	SHORT STORY (FICTION)	__________
HIGH SCHOOL	__________	POETRY		__________
		ESSAY (NONFICTION)	__________
Only one (1) entry may be submitted in each category; a separate form is required for each entry. 
I acknowledge that I have read and accepted the rules of the contest. I certify that the writing submitted is my own original work. If I am a winner, I give EPIC permission to publish my submission, my bio, and my e-book paragraph in the anthology and on the EPIC Web site without any additional notice or compensation other than the prize(s) I win. I understand that my name and country (and state if in the United States) will be the only identifying information included in the publication, and that I will own the copyright to my work.

Student’s signature______________________________________________

I acknowledge that I have read and accepted the rules of the contest. I certify that I am the parent or guardian of the student submitting this entry and that the student has my permission to enter. If this entry is a winner, I give EPIC permission to publish the submission, bio, and e-book paragraph in the anthology and on the EPIC Web site without any additional notice or compensation other than the prize(s) awarded. I understand that the writer’s name and country (and state if in the United States) will be the only identifying information included in the publication and that the writer will own the copyright to his/her work.

Signature of parent or guardian______________________________________

Scanned signatures are acceptable. If a scanner is not available, signed forms may be faxed to 210-344-1958 or mailed to PO Box 461603, San Antonio, TX 78246 after entries have been e-mailed as an attachment in rtf or MS Word format  to <epicnewvoices@lillieammann.com>. In this case, two entry forms will be submitted, one (unsigned) electronically and one (signed) by mail or fax. 
If the electronic submission is not signed, please indicate how the signed form is being submitted:
Faxed to 210-344-1958 on (Date) _________________
Mailed to EPIC New Voices, PO Box 461603, San Antonio, TX 78246 on (Date)  ________________  
The entry is not complete until the student's and parent or guardian’s signatures are received.