WGVU

c o n t e s t

WGVU

c o n t e s t

Required:

Parent/Guardian Signature______________________________________________________________________________

Printed Name_______________________________________________________________________________________

Email address: _______________________________________________________________________________________

If different from the above address:

Mailing address______________________________________________________________________________________

City/State/Zip_____________________________________________ Phone (_____ )_______________________________

Optional for School-Related Entry:

Teacher Signature__________________________________________ Email address________________________________

Printed Name________________________________________________________________________________________

School Name________________________________________________________________________________________

School Mailing Address_________________________________________________________________________________

City/State/Zip___________________________________________ School Phone (______)___________________________

Deadline for receipt of entries and entry address is: WGVU Public MediaDeadline: January 31, 2017 WGVU KIDS Writers Contest 301 Fulton St. WWGVU KIDS Writers Contest Entry Form, 2017 Grand Rapids, MI 49504-6492

WGVU

c o n t e s t

WGVU

c o n t e s t

WGVU

c o n t e s t