Laredo Poetry Festival Registration 2022 Name* First Last Grade Level*First GradeSecond GradeThird GradeFourth GradeFifth GradeSixth GradeSeventh GradeEighth GradeNinth GradeTenth GradeEleventh GradeTwelfth GradeAdultHome Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Applicant's Email* Applicant's Phone Number (if 18 or older)Parent or Guardian Name (if under 18) First Last Parent or Guardian PhoneSchool Name Teacher's Name First Last School Address Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code School PhoneTeacher's Email Title of Poem* RELEASE* I consent.I do hereby give my permission for this child to participate in the 19th Annual Laredo Poetry Festival and to publish this child’s poem if selected. I understand that all reasonable precautions will be taken to provide a safe program experience for this child, and that in consideration thereof for myself and for this minor child, and for the heirs, executors, and administrators and assigns of myself and this minor child, I hereby release the City of Laredo, and the Laredo Public Library and their employees and volunteers, from any liability or causes of indemnity and hold harmless the City of Laredo and the Laredo Public Library and their employees and volunteers from any claim arising against them on behalf of this minor child in this program. By registering your child, you give the Festival sponsors permission to reproduce and publicize video of your child’s reading their poems as long as it is not a confidential matter. If your child doesn’t want to do the video reading their poem they can give permission to one library’s volunteer to do the video. Poem with Name*Max. file size: 800 MB.Please upload a copy of your poem with your name. Poem without Name*Accepted file types: docx, doc, pdf, Max. file size: 800 MB.Please upload a copy of your poem WITHOUT your name in the document.CAPTCHANameThis field is for validation purposes and should be left unchanged.
