District Winner Form A
Name of School District______________________________
Name of School_____________________________________
EIGHTH GRADE DISTRICT WINNER’S NAME
Please type out the winner’s name as it should read on the plaque.
Please complete the following information for you student. It will be used to send more information to the parents concerning the ceremony and the Young Writers’ Workshop.
Name of student________________________________________________
Name of parent_________________________________________________
Family address_________________________________________________
Home phone __________________________________________________
Name of Classroom teacher______________________________________
Student Signature______________________________________________
Parent Signature_______________________________________________
*All information must be completed and mailed by Wednesday December 13, 2000 to:
Office of Lieutenant Governor
Post Office Box 142
Columbia, South Carolina 29202