JACK LONDON FOUNDATION, INC.

HIGH SCHOOL WRITING CONTEST

2017 ENTRY FORM

Please Print:

Contestantís Name

Street Address

City State Zip

Telephone #(   )    -         E-Mail

Grade level Future educational plans (optional)



Name of Instructor

Name of School

Street Address

City State Zip

School Phone # (    )     -        E-Mail



Tile of Manuscript

Word Count: Limit 2000

Mail completed entry form and manuscript to:

Jack London Foundation

P.O. Box 337

Glen Ellen, CA 95442