Please complete one cover sheet for each entry you submit. DO NOT put your name on the entry itself.
*Denotes required field
Last Name: *
City, State, Zip: *
Home Phone: *
Work or Cell Phone: *
SURF ID or MCC user name: *
Title of your entry: *
Category (select one):
For poetry and text, cut and paste your document in this space. For artwork, please submit this cover sheet and also send an e-mail with your .jpg attached to firstname.lastname@example.org:
Tidepools welcomes submissions from MiraCosta College students, staff, and faculty.
For our records, please select one: *