18+ Short Story Contest Entry Form -

Student first/given name*

Student last/family name*

Curriculum License Number*

Date of birth*

MM

DD

YYYY

Email address*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

This should be your preferred shipping address. It will be used to ship your winnings if you place in the contest.

File

Short story title (An original title is required.)*

Short story file upload*

Author Affirmation

Electronic signature*

My entry for the 2017 One Year Adventure Novel Short Story Contest is attached. My submission is entirely my own writing and does not infringe on any copyright restrictions. If I am a finalist you have my permission to include it in a winners' pdf which may be posted on this website. I agree to respect the decision of the judge(s).