NLS PUBLISHING
2008 STUDENTS FOR CHANGE ESSAY WRITING CONTEST
OFFICIAL ENTRY FORM
Please type in the required information, print and sign the form and submit with your Essay via email at contest@2008studentsforchange or via U.S. Mail to: 2008 Students for Change, C/O NLS Publishing, P.O. Box 5526, Frisco, Texas 75035.
STUDENT’S FULL LEGAL NAME: ADDRESS: CITY: PHONE NUMBER: STATE: ZIP:
EMAIL ADDRESS:
COLLEGE/UNIVERSITY (FALL 2009): CITY: STATE: STUDENTS AGE:
GRADE LEVEL AS OF FALL 2009:
If student is under the age of 18, parent or legal guardian MUST complete this section. PARENT’S NAME: PARENT’S ADDRESS: CITY: PHONE NUMBER: STATE: ZIP:
EMAIL ADDRESS:
STUDENT ACKNOWLEDGEMENT: I agree to the above guidelines and rules. I hereby affirm that the essay and photos I have submitted are my own original work. I further understand and agree that my essay and photos will become the property of NLS Publishing and may be republished at NLS Publishing’s discretion. All of the information stated in my entry form is true and accurate to the best of my knowledge. I further agree that a signed duplicate copy of this form has the same legal force and effect as the original copy. ____________________________________________________ Student Signature Date PARENT ACKNOWLEDGEMENT: I agree to the above guidelines and rules. I hereby affirm the essay and photos submitted by my child are my child’s own original work. I further understand and agree that the essay and photos submitted by my child will become the property of NLS Publishing and may be republished at NLS Publishing’s discretion. All of the information stated in my entry form is true and accurate to the best of my knowledge. I further agree that a signed duplicate copy of this form has the same legal force and effect as the original copy. _____________________________________________________ Parent’s Signature Date