Entry Form For Sean Dunne
Entry Form For Sean Dunne
Title:
___________________________________
Name:
___________________________________
Address:
___________________________________
___________________________________
___________________________________
___________________________________
Phone:
___________________________________
Email:
______________________________
Date of Birth:
___________________________________
Age:
______________________________
Category:
Poetry
__________
Prose
__________
Screenplay
__________
Section:
Local:
21 and under
___________
Junior:
12 - 16
___________
Senior:
30 or under
___________
_______________________________________________________________
Closing Date: January 31, 2014
Post to Sen Dunne Young Writers Awards, Waterford City Council, City Hall, The Mall,
Waterford.