Tidepools Cover Sheet

Please complete one cover sheet for each entry you submit. DO NOT put your name on the entry itself.

Name:

Address:

City, State, Zip:

Home Phone:

Work or Cell Phone:

Email:

Title of your entry:

Category (select one):

For poetry and text, cut and paste your document in this space. For artwork, please submit this cover sheet and also send an e-mail with your .jpg attached to tidepools@miracosta.edu:

Tidepools welcomes submissions from MiraCosta College students, staff, and faculty.
For our records, please select one:



In order to help us prevent SPAM, please enter the number before submitting the form.