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April Poetry Contest Submission

Date

Poem title

Name of poet

Age of poet

Address

Town/City

Postal code

Phone

Upload your poem

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Allowed extensions pdf, docx, doc

Acknowledgement

By submitting this poem, I understand I am giving the Haldimand County Public Library permission to publish it within the library, in local newspapers, or in other print or digital venues deemed suitable, giving credit to the name provided above.

I am providing my Express Consent to receive electronic communications from the Haldimand County Public Library. I understand that I may withdraw my consent at any time by replying with the text "Unsubscribe" to any electronic communication sent by the Library.

I certify that the submitted poetic work is entirely original.