2021 Poetry Contest Submission Form Before submitting your piece, please review the rules of the 2021 Poetry Contest. Name: Phone Number: Address: Email address: Type or paste your entry below: Please check one: I am in grades 3-8. I am in grades 9-12. I am 18 years or older. Should my entry be chosen as a winning piece, I give permission to the Massillon Public Library to display my photo and name as a winner of the contest. By checking this box I attest that I retain the copyright to my original poem. If you are under age 18, please have a parent read and check this statement: Should my child’s entry be chosen as a winning entry, I give permission to the Massillon Public Library to display my child’s photo, grade, and name as a winner of the contest. By checking this box I attest that my child will retain the copyright to his/her original poem.