Ralston White Writing Retreat Interest Form 2023
Please fill out the information below to express your interest in attending the 2023 Ralston White Writing Retreat from June 14-18.  We will check for registration requests weekly and will send information regarding securing a spot with a deposit in a follow up email to anyone who is selected to attend. Deposits are $150 and will need to be sent via Venmo by February 15, 2023. Email Jane Gilmore at janegilmore.writes@gmail.com with any questions.  
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Name *
Email *
Phone Number *
What draws you to this retreat experience?  What are you most hoping to get out of the retreat? *
What is your experience and/or current practice with writing?  Note that all are welcome regardless of writing experience as we have novice writers attend alongside novelists! *
Are you most interested in a single or double room?  Note that there are only enough accommodations for everyone to get a single room if we have 13 or fewer writers.  Beyond that some people will have to share.  Who shares will be determined based upon need and registration/deposit date. *
Required
Please list your preferences for room sharing if we exceed 13 people. Do you have a gender preference?  A particular person you would feel most comfortable sharing with? *
Do you have any dietary restrictions that we should pass along to the caterers? *
Do you have any other health concerns that we should be aware of?
How did you hear about the retreat? *
Do you have any writing friends whom you would like to invite to the retreat?  Have you reached out to them to share the retreat information?
Are you able to pay the $150 deposit by February 15, 2023? *
Is there anything else we should know about you?
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