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Student’s Name
_________________________________________________________________________
Mailing address
_______________________________________________________________________
City/State/Zip
_________________________________________________________________________
Grade in school year 07/08 _____________________
Title of Story
_______________________________________________________________________
Number of
Words
_______________________ (no minimum, maximum of 2,500)
(The word
count includes “a,” “an,” & “the.”)
By entering the Book ‘Em Foundation’s
(BEF) Short Story Contest, I give permission for the BEF to use this
work, which will be credited to the entrant/author, as it wishes,
including, but not limited to, display, promotion, reproduction and
distribution in all media and the right to create, perform, display
and distribute derivative works. I also give them the right to use
the entrant/author’s name, likeness and biographical material in
connection with the work. I understand the stories may not be
returned.
I release the BEF, Waynesboro Police
Department, sponsors and the officers, directors, employees,
licensees and successors from any liability in connection with this
Contest submission.
I acknowledge that I have read this
consent and release prior to signing it and that I understand its
contents.
I warrant that this child alone has
created the story text for this Contest.
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