THE TENTH ANNUAL
ukiaHaiku festival 2012
A celebration and competition devoted to the haiku form of poetry

- Author Form -

This form must be completed and accompany each separate Haiku submitted (limit: three Haiku per person per category).

Deadline for submissions: Friday, March 11, 2011

Name:
 
Phone:
 
E-mail, if available:
 
Home Address:
 
City, State, Zip:
 
For Schools:
Grade:
 
Name of School:
 
Teacher's Name:
 

Categories (check one):

General Topics (Regional*)

______ 1) Children, grades K-3
______ 2) Children, grades 4-6
______ 3) Youth, grades 7-9
______ 4) Youth, grades 10-12

______ 5) Adult

Haiku about Ukiah (Regional*)

______ 6) Haiku about Ukiah, grades K-6
______ 7) Haiku about Ukiah, grades 7-12
______ 8) Haiku about Ukiah, Adult: The Dori Anderson Prize

Haiku en Espaņol, Temas Generales (Sumisiones Regionales*)

______ 9) Para menores de 18 aņos

______ 10) Para mayores

International, General Topics, Adult:

______ 11) Jane Reichhold International Prize**

*Residents of Mendocinio, Humboldt, Lake, and Sonoma Counties in Northern California

**Submission fee of $5 for up to three Haiku. (All other categories are free of charge to enter.) Checks should be made payable to the Poet Laureate Committee of Ukiah

Send to:
ukiaHaiku Festival
Post Office Box 865
Ukiah, California 95482

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