JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Live Poetry Readings Interest Form
The Wallflower will be hosting live poetry readings on our Instagram every week, and we're looking to get some creative poets involved! If you're interested, please fill out this form. We'll get back to you ASAP!
Sign in to Google
to save your progress.
Learn more
Name
Your answer
Preferred Pronouns
Your answer
Email
Your answer
Instagram @ (or link to your profile)
Your answer
Tell us a little bit about your poetry, writing, inspiration, etc.!
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of jpmcauley.com.
Report Abuse
Forms
