Tidepools 2013 Cover Sheet

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

Name:

Address:

City, State, Zip:

Home Phone:

Work or Cell Phone:

Email:

Title of your entry:

Category (select one):

Please tell us a little about yourself. If your work is selected, this will be included in the biographical portion of the book (50 words maximum):

Please cut and paste your document in this space:

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.



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