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Submit a Poem  

* Email:  
* First Name:
* Last Name:
* District/State:
* Country:
* Poem Type:
* Poem Title:
* Poem Text:

I wish remain anonymous

Please use my Nickname                    

Please use my real name

Please show my email address

I confirm that

*the poetry is my own work

*the poetry does not insult or slander any individual, group or race

*the poetry has not been published in any other manner and copyright has not been assigned to any other party

*I assign copyright for this work to the administrator of the www.bipolarpoetry.com website for display on the website and in any printed material the administrator may publish

*I accept that (very minor) editing may occur before the work is displayed or published

*I certify that I have been diagnosed as suffering from a bipolar affective disorder (or "manic-depression")


I acknowledge that all of the above statements are true [tick box] 

Also, keep in mind that:

*not every poem will be accepted for display on the website.  If you receive an email declining your work, please don't be discouraged: keep writing and keep submitting your poetry.

*poetry doesn't have to rhyme!

*when you submit a poem you can have it identified with your name and/or your email address.  If you would prefer not to have these identifiers displayed, you can elect to have your poetry signed "anonymous".

*apart from names, every poem will display your district or state of origin in order to emphasise the global nature of both the website and the disorder.