Sierra Writers

Entry Form (Young Writers Contest)
(Email entry info with an attached story to jennyd@cybermesa.com.)

NAME_______________________________________________

AGE___________ (15 through 19)

STREET ADDRESS_______________________________________________

CITY_______________________________________________

STATE_______________

ZIP_______________

COUNTY_____________________________________________

PHONE_________________________________

EMAIL_______________________________________________

TITLE OF SHORT STORY_______________________________________________

Name; Phone; Email of Parent, Guardian, Teacher, Counselor, Adult Mentor, Probation Officer, or Clergyman (for required permission)

 ______________________________________________________________________________

 ______________________________________________________________________________