Entry Form Personal Information Name (please print):___________________________________________________ Address:____________________________________________________________ Home Phone:_____________________ Day Phone:__________________________ Date of Birth:_________________ Current Grade (if a student): _________________ Email Address: ______________________________________________________ Please spell your name phonetically for the emcee, if it is difficult to pronounce: Brief biography: Specific Story Information: Story Title __________________________Story Author_______________________ Why did you choose this story?
Please describe: Source of the Story:_____________________________________________________ Exact Telling Time:___________(not including teller introduction or story introduction) If you have been associated with a school, library, storytelling club or drama club during your "National Youth Storytelling Hall of Fame" preparation, please provide the following information: Organization Name________________________________________________________ Address________________________________City/State______________Zip ________ Contact Name________________________Telephone Number_____________________ |