2015-2016 MARYLAND POETRY OUT LOUD THIS REGISTRATION FORM FOR THE MARYLAND STATE COMPETITION IS DUE BY OCTOBER 2, 2015 Make sure to also download the timeline: www.msac.org/poetryoutloud - left hand side bar in September. DEADLINES ARE FIRM. POL has a new structure: note that the competition will now be limited to 45 schools—15 per region. After that threshold has been reached, remaining schools will be on a waiting list should any drop out, so should conduct their programs as planned. Larger counties with many schools will be limited. PLEASE FILL OUT ALL FIELDS: YES, our school would like to participate in the 2015-16 Poetry Out Loud competition in Maryland. We would like to have _____ Teacher Toolkits mailed to us (limit 8 for new schools, 5 for returning – extra copies may be downloaded at www.poetryoutloud.org): Name of School:_______________________________________________________________ Complete Address (MUST HAVE CITY & ZIP OR WE CAN’T MAIL TOOLKITS): _____________________________________________________________________________ COUNTY:__________________________ Phone: __________________________________ FAX (NEA requires):_______________________Email: _____________________________ Number of participating 9th grade classrooms: ____________ Teacher Toolkits ______ Number of participating 10th grade classrooms: ____________ Teacher Toolkits ______ Number of participating 11th grade classrooms: ____________ Teacher Toolkits ______ Number of participating 12th grade classrooms: ____________ Teacher Toolkits ______ Name of Coordinator for Your High School: ______________________________________ (This is the High School English/Lang.Arts Chair or Other Designated High School Representative: please see ‘Staffing the Competition’ in the guidelines – THIS PERSON IS RESPONSIBLE FOR SUPERVISING/CONDUCTING THE COMPETITION AT THE SCHOOL and acting as liaison with the Maryland State Arts Council for all competitions.) Coordinator’s phone: _________________________________cell:_______________________ Coordinator’s email: ___________________________ PLEASE EMAIL THIS FORM TO: Christine Stewart, AiE Program Director, Maryland State Arts Council: christine.stewart1@maryland.gov. QUESTIONS? 410-767-6476