POET BALLOT

(ONLY FILL OUT THIS FORM IF YOU INTEND TO PERFORM)

Your Name (this is what will be read out)

Pronouns

Email Address

Please check you have entered your email address correctly

Mobile Number

Postcode

Do you allow Bankstown Poetry Slam (Click Ink) to upload a video of your performance to our social media channels?

If you change you mind, please email info@bankstownpoetryslam.com or DM us on socials.

Yes

No

Title of your poem

This is what will be written on YouTube. Please write the title of your poem exactly how you want it to appear. If you leave it blank, only your name will be displayed. But fear not - you can contact BPS at anytime to update the title of the video. Please note that not all performances will be uploaded due to resources. Email info@bankstownpoetryslam.com if you have any questions.