2008 Teen Short Fiction Contest

NAME_______________________________________________

AGE___________

STREET ADDRESS_______________________________________________

CITY_______________________________________________

STATE_______________

ZIP_______________

COUNTY_____________________________________________

PHONE_________________________________

EMAIL_______________________________________________

TITLE OF SHORT STORY_______________________________________________

ADULT SIGNATURE___________________________________________________

For teens not yet 18, ENTRY FORM must be signed by PARENT, GUARDIAN, TEACHER, COUNSELOR, ADULT MENTOR, PROBATION OFFICER, CLERGYMAN, etc.)