Please contact the Contest Coordinator at with any questions. We love your feedback!

HSLDA Poetry Contest Entry Form

Themes for the 2018 Contest >>

Student Information

* = Required Fields

*First Name: 
*Last Name: 
*Mailing Address: 

Provide the email address where you would like us to send you confirmation of receiving your entry, judging time frame updates, and the winner announcement.

*Age (as of April 1): 


Poem Information

If submitting multiple poems, please submit a separate Entry Form for each poem.

*Poem Title: 
*Line Count: 

Fee Payment Information

  • Make check or money order payable to HSLDA.
  • Multiple fees may be combined on one check or money order.

Check or Money Order#: 
7-Digit HSLDA Member ID, if applicable  

If you cannot remember your Member ID, email or
call 1-540-338-5600.

*How did you first hear about this contest?

What types of poems and subject matter would you enjoy writing on in a contest? (optional) 

*Entry Certification

By checking this box, I certify that the information provided above is accurate and complete to the best of my ability. I certify that the poetry being submitted is the entrant's own creation and not copied from any other source. I agree to abide by the guidelines of this contest and understand that all judgments are final and interpretation of the guidelines is at HSLDA's sole discretion. Entries will not be returned. I understand that by submitting my poem, I am giving HSLDA the right to publish my work.