Shenandoah Valley Reading Council
an affiliate of the
Virginia State Reading Association and the
International Reading Association
www.svreading.org
SVRC is busy locating a new sponsor. Please check back for updates.
We hope to publish a book again this year. Thank you.
2007 Valley Voices Journal
Writing or Journal Cover Artwork
Entry Form
Teachers: To save time, fill in
the school/teacher information prior to making copies.
Entries must be postmarked by Friday, February 16, 2007. A copy of this form
must be
stapled to the back of each writing entry or taped to the back of each art entry
facing outward.
This entry is for (check one): journal story/poem journal cover artwork
Please print
legibly
Student:
________________________________________________ Grade: ________
Mailing Address: _________________________________________________________
Home Phone: __________________________________________ Age: ___________
TITLE OF THIS ENTRY:
_________________________________________________
Student permission:
I understand that more entries will be
submitted than can be published in the 2007 Valley Voices Journal.
If my work is selected, I would be happy to have it published in the journal.
Student Signature:
_________________________________________________________
Parental permission:
If my child’s work is selected for the
2007 Valley Voices Journal, I give permission to have his/her name and picture
used for publicity of the event.
Parent/Guardian Signature:
__________________________________ Date: ___________
School Name/Division:
____________________________________________________
School Phone Number: ____________________________________
Teacher’s First/Last Name: _________________________________________________
Teacher’s Email Address (required):
________________________________________
Send entries to: Mary
Ellen Chewning, Chair
Shenandoah Valley Reading Council
1832 College Avenue
Harrisonburg, Virginia 22802