Tidepools Cover Sheet

Please complete one cover sheet for each entry you submit. DO NOT put your name on the entry itself.

*Denotes required field

First Name: *

Last Name: *

Address: *

City, State, Zip: *

Home Phone: *

Work or Cell Phone: *

Email: *

SURF ID or MCC user name: *

Title of your entry: *

Category (select one): *

For poetry and text, cut and paste your document in the space provided.
For artwork, please submit this cover sheet and also send an email with your .jpg attached.

If your poetry contains special formatting, you may save it as a Word document or a PDF and upload it instead.

Tidepools welcomes submissions from MiraCosta College students, staff, and faculty.
For our records, please select one:

In order to help us prevent SPAM, please enter the number before submitting the form.