School Competition Entry Form - Nebo Bush Poet's Smoko

Please submit your original poem entry here for the chance to win gift prizes valued up to $250.

Prizes for 1st 2nd and 3rd for Juniors (Years 1 to 6) and Seniors (Years 7 to 12)

Information privacy

Isaac Regional Council is collecting personal information you supply on this form only to assist in accordance with the Information Privacy Act 2009. Your personal information will be used by Council officers who have been authorised to do so. The information will not be given to any other person or agency unless required by law or unless your permission is sought. Personal information is handled in accordance with the Information Privacy Act 2009.

Full name

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Address

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Email (or Parent/Guardian email)

Phone Number (or Parent/Guardian phone number)

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Parent / Guardian permission to enter

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Name of School

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Select your Category

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Original Poem entry upload here

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