Submission Form AUTHOR INFORMATION (all fields are mandatory) Aurhor's Name Grade Please Select Grade 4 Grade 5 Grade 6 Grade 7 Grade 8 Age Please Select 8 9 10 11 12 13 14 Gender Female Male SCHOOL INFORMATION (all fields are mandatory) Teacher's Name Public School Independent/Private School School Address City Province Please Select AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Postal Code School Phone Number ENTRANT INFORMATION (all fields are mandatory) Relationship of Entrant to Author Parent / Guardian Teacher Name Phone Number I warrant and confirm that I have the consent of the author's parent/guardian to submit the author's work and personal information Email Address How did you hear about the contest? From school From teachers From parents Brochure Postcard Website via online search Other SUBMISSION INFORMATION (all fields are mandatory) Number of Words Number of Illustrations Upload Files Files types accepted include: .doc, .jpg, .pdf.Files types NOT accepted include: .exe I have reviewed the story checklist. I confirm that the story and illustrations submitted are original works that belong to the identified author and have not been submitted to other contests and/or publications. By submitting this, I warrant that the author and their parent or guardian are granting Ripple Digital Publishing the right to use this material to create a digital storybook that will be available for sale online. All net proceeds from the book will be donated to support the author's school. I understand that no royalties will be paid to any authors at this or any time. I understand that not all entries will be selected for publication and that all entries submitted are not returnable. I confirm that I, the author, and their parent or guardian have read, understood and agreed to the official rules and regulations.