Greenburgh Arts And Culture

         "We celebrate the creative arts!"

Sarah Bracey White, Executive Director. Advisory Board: Kevin Morgan, Town Board Liaison; Hope Corbin, President; Gwen Cort, Carolyn McNair, Jim Miller, and Barbara Mohr


Greenburgh’s 42nd Annual Poetry  Contest Application 

(This form may be reproduced)        Please PRINT the following information

 1.   Your name:                                                                                                         


2.   Your age (if under 19)                                                                                        

 3.   Personal identification number:                                                                         

                                                                                       (any five digit/letter combination you like)

 4.   Street address: _________________________________________________                   


 5.   City, state & zip code) ____________________________________________


6.   Telephone number   (         )                                                                                         


7.   Email address:                                                           @                                                   


8.   Entry category: (circle one)    ADULT       STUDENT (13-18)        JUVENILE (6-12)   


9.    Title of poem, # of lines: 1)                                                                                           


 10. Entry fee -  check # ____________ 


11.  In the space below, write a 30-word (maximum) self-description.




By your signature, you attest that the enclosed poetry is your original work and meets all rules for entry in this contest. If your poem reaches finalist status, you agree to submit an electronic copy and will allow its publication in the 2013 anthology, Let the Poets Speak.