PACK A PUNCH Cover Story Contest Entry Form

Student's first/given name*

Student's last/family name (will not be used publicly)*

Student's age*

Address (only the state/province will be used publicly)*

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

Email (will not be publicized)

Phone (only used for communication if emails bounce)

Please affirm:*

My student and I understand that by entering this contest, my student's letters may be shown on the live contest webinar.

Please indicate your preference:*

My student and I affirm that my student's letters may be displayed on the Cover Story website and official Facebook page.
My student and I do NOT want my student's letters to be displayed on the Cover Story website and official Facebook page.

File*

Accepted file types: pdf, doc, docx, txt, Max. file size: 49 MB.

Please upload your student's first entry of up to 500 words. (Entries outside the word count limit will be automatically disqualified.) A PDF file is preferred.

File

Max. file size: 49 MB.

Please upload your student's second entry of up to 500 words, if a second entry is desired. (Entries outside the word count limit will be automatically disqualified.) A PDF file is preferred.