National Family Literacy Day

­Lit’ for Life Family Literacy - 2014 Poster Contest

National Literacy Day Poster Submission Form

Complete guidelines for the contest are available at www.simmonsinknstitch.com.

          PLEASE PRINT CLEARLY!

Please include all names of the persons submitting this poster. Please use additional sheets if necessary.

 

TEAM CAPTAIN AND PRIMARY CONTACT (THIS PERSON MUST BE AN ADULT)

First Name_______________________Middle_______________Last___________________________

Address_____________________________________________________________________________

City                                                     ,, New York   Zip _________ Phone (                      )                           

School Name ____________________________________              Grade ______ Age ___________

Parent Name: ___________________________________  Parent E-mail _____________________________

 

Team Member #1

First Name_______________________Middle_______________Last___________________________

Address_____________________________________________________________________________

City                                                     ,, New York   Zip _________ Phone (                      )                           

School Name ____________________________________              Grade ______ Age ___________

Parent Name: __________________________  Parent E-mail/phone#_____________________________

 

Team Member #2

First Name_______________________Middle_______________Last___________________________

Address_____________________________________________________________________________

City                                                     ,, New York   Zip _________ Phone (                      )                           

School Name ____________________________________              Grade ______ Age ___________

Parent Name: __________________________  Parent E-mail/phone#_____________________________

 

Team Member #3

First Name_______________________Middle_______________Last___________________________

Address_____________________________________________________________________________

City                                                     ,, New York   Zip _________ Phone (                      )                           

School Name ____________________________________              Grade ______ Age ___________

Parent Name: __________________________  Parent E-mail/phone#_____________________________

 1.      This poster is an original idea poster submitted for category ________________ (See instructions).  

2.      The poster theme/title  is: ________________________________________________________________

DON’T FORGET TO PAPER CLIP YOUR POSTER TO THIS FORM and

SUBMIT THIS FORM AND POSTER BY OCTOBER 22, 2014 to

Simmons Ink and Stitch, Shoppingtown Mall, 3649 Erie Blvd. E, Dewitt, NY 13214

Drop Off Mall hours – Monday through Saturday Noon – 6pm, 430-5972

Please note: Entries cannot be accepted in person at the store on October 15 – October 18, 2014