Tidepools Cover Sheet

Please complete one cover sheet for each entry you submit. DO NOT put your name on the entry itself. Do not use special symbols in the title of your submission such as -- # % ( ) @ ? : , etc.

*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:

or

Link to your YouTube video:

Tidepools welcomes submissions from 美姬社区 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