Broken Sleep Books Poetry Course | Broken Sleep Books

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First Name

Last Name

Email

Country of Residence

What do you hope to achieve by taking this course?

Are you currently working on a book? If so, please provide a brief synopsis.

Are you applying for one of the free bursary places? (We offer 2 free places for attendees who otherwise wouldn't be able to attend.)

Yes

No

Would like to be considered for a bursary and/or a paid space

What are your favourite poetry books? Who are your favourite poets?

Provide a brief writing bio

Please upload a sample of your work. A maximum of 5 poems, as either a PDF or word document.

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© 2025 by Broken Sleep Books

Broken Sleep Books

PO Box 102

LLANDYSUL

SA44 9BG

*Cannot be used in conjunction with other discounts

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