Submission Form for People's Poetry Prize (due May 1, 2017)
The Samaritans of RI Forget-Me-Not Gallery is hosting a People's Poetry Prize in celebration of National Poetry Month and coinciding with its current gallery exhibition, Abstracted Rainy Moments. This poetry contest has no entry fee. Anyone interested with submitting poems for consideration and voting in this contest must do so on the form below.

Poets are encouraged to visit the Samaritans Forget-Me-Not Gallery (at 67 Park Place, Pawtucket, Rhode Island) to be inspired by the art in the current exhibition, "Abstracted Rainy Moments" to write poetry -- part of this spring's Art Inspiring Poetry Events.

Limit of up to two (2) poems per person. All form fields must be filled out completely. There is no maximum or minimum length of poetry required. All applicants must be at least 14 years of age to qualify for this prize. Selected finalists will have their poems posted to the Samaritans of RI Facebook Page (https://www.facebook.com/The-Samaritans-of-Rhode-Island-135146746614916/) , where the public will vote for the winner. Submitted poems may be published in the exhibition catalog. For questions about submissions, email rbraskartwork@gmail.com

Please fill out the form below completely to successfully submit your poetry contest entry.
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Email *
First Name *
Last Name *
Phone Number (with area code) *
Current Age (as of May 1, 2017) *
How did you hear about this poetry contest? *
Required
Your Poetry Submission 1 (please format line breaks and spaces as you want your poem to appear) *
Was this poem inspired by any specific painting currently hanging in the Samaritans Forget-Me-Not Gallery? Please put title or describe, if so.  (View image examples here: https://rachelbraskart.com/artworks/current-work-abstracted-rain-series/ ) *
Your Poetry Submission 2 (optional) (please format line breaks and spaces as you want your poem to appear)
General questions/comments
By selecting the below, I acknowledge and grant permission for my poem(s) to published online the Samaritans of RI Facebook Page for voting, and, if selected, to be published in the exhibition catalog of Abstracted Rainy Moments (credit will be given to poets). *
Required
Please enter your initials below as acknowledgement that all information in this form is accurate and true to the best of your knowledge, and to acknowledge your participation in the People's Poetry Prize poetry contest. *
Questions: If you have any questions or experience difficulty with this submission form, please email rbraskartworks@gmail.com
A copy of your responses will be emailed to the address you provided.
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