SCBWI-Florida Regional Conference, Miami, Florida January 13-15, 2006 Critique Submission Form Print out this form and mail it with you check, made payable to: SCBWI Florida, 10305 SW 127 Court, Miami, Florida 33186.

Name: _____________________________________________________________ Home Phone: ____________________ E-mail: _________________ I am a: _____ Writer (Send MS and Critique Form to Adrienne) ______ Illustrator (Send Critique Form to Adrienne and bring your portfolio to conference.) ______ Writer/Illustrator (Send text and Critique Form to Adrienne and bring your dummy to the conference.) Please list below the titles you are submitting for critique, as well as the specific genre. (For example, Pop Goes The Turtle, Picture Book.) 1. _______________________________________________________ 2. _______________________________________________________ 3. _______________________________________________________ 4. _______________________________________________________ Please tell us when you are arriving and when you are leaving so that we may schedule your critique. Arriving: _________________________Departing: _________________________ Mail your Critique Form to: Adrienne Sylver, 20121 Cutler Court, Miami, FL 33189 postmarked by December 15th, 2005. Mail your critique fee along with your Registration Form to: SCBWI Florida, 10305 SW 127 Court, Miami, Florida 33186. Back to Main Conference Page