Entry form:

Online entry is preferred – please email entry forms and submission to

Please complete a separate entry form and attached to each piece/email submitted.

Entries must be submitted by 5.00 pm on Friday 22 September 2017.

Name:

Title of work:

Number of words:

Address:

Suburb: Postcode:

Phone number: Mobile number:

Email (please ensure this is a regulary accessed address):

Date of birth: Year level:

School/Organisation:

English teacher: Email:

·  I agree to my work being entered into Fresh Words Young Writers Competition 2017.

·  I confirm that this is my own, original work.

·  I have read the competition terms and conditions and agree to abide by these competition rules.

·  The City of Casey requests your consent to use, publish or reproduce an image or video/audio recording of you/your child and your/their work in hardcopy and electronic mediums. These may include but not limited to, printed media and publications and online via Council’s website and social media. I agree that if I wish to withdraw this consent at any time, it is my responsibility to inform the City of Casey.

AUTHOR’S NAME PARENT/GUARDIAN’S NAME

(please print) (please print)

AUTHOR’S SIGNATURE PARENT/GUARDIAN’S SIGNATURE

How to submit work:

Online entry is preferred – please email entry form and submission in Word Format to

Entries close Friday 22 September 2017 at 5.00 pm.

All hard copy work should be submitted in an envelope marked:

Attention: Youth Events Officer

Fresh Words Young Writers Competition 2017

Work can be delivered to any of the following locations:

·  Cranbourne Youth Information Centre (Shop 156 Cranbourne Park Shopping Centre, Cranbourne)

·  Hampton Park Youth Information Centre (22-26 Stuart Avenue, Hampton Park)

·  Narre Warren Youth Information Centre (52 Webb Street, Narre Warren)

Alternatively submissions can be posted to:

Youth Events Officer

PO BOX 1000

Narre Warren VIC 3805

By submitting work to the Fresh Words Young Writers Competition 2017, you are agreeing to abide by the competition’s terms and conditions. If this is unclear, please contact the Youth Events Officer on 9705 5200.

Policy/Disclaimer

Your personal information will be handled in accordance with the Privacy and Data Protection Act 2014 and used for the specified purpose. You can access your personal information by contacting Council’s Privacy Officer on 9705 5200.