Writers' Workshop Registration Form

Thank you for your interest in registering for a writers' workshop!

After you hit "submit" below, I will send you an email confirming receipt of your student's registration form and supplying payment information (Venmo or Amazon e-card only). Your registration is not complete until payment is received.

* Indicates required field

Student Name *

First

Last

Student Age and Grade (as of Spring 2019) *

Parent Name *

First

Last

Parent Email *

Emergency Contact Number for Parent or Babysitter *

Information the instructor should know about your student *

Workshop(s) for which I am registering this student: *

Friday, Mar. 1, 10:30-11:30 (4 spots)

I understand I am expected to drop off and pick up my student on time. I understand there are no refunds unless the instructor cancels the class by 9 AM that morning because of hazardous weather conditions.

Submit