Tidepools Cover Sheet

Please complete one cover sheet for each entry you submit. DONOT put your name on the entry itself.

*Denotes required field

First Name: *

Last Name: *

Address: *

City, State, Zip: *

Home Phone: *

Work or Cell Phone: *

Email: *

SURF ID or MCC user name: *

Title of your entry: *

Category (select one): *

Submit your .pdf, Word document, or .jpeg here: Attach file: (required)

or

Link to your YouTube video:

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.

Questions? Please email: tidepools@miracosta.edu