WordPlay Enrollment Form, Spring 2022

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Welcome to WordPlay's enrollment form for Spring 2022! Use this form to register your student for a Wordplay class or workshop.

DIRECTIONS: Please complete this form for EACH student that you are registering for WordPlay workshops.
You are welcome to register for multiple workshops per students.
Please complete ONE form PER student.

Thank you! We look forward to creating with you soon!

Email Amy Tuttle with any questions about our offerings:
amy@wordplaycincy.org

Email *

Name of Parent/Guardian: *

Phone Number: *

Which Wordplay program would you like to register for? *

Handmade Books for Daydreamers with Lizzy Duquette

Poetry for the Common Good with Pauletta Hansel and YPL

The Secret Sauce with Brandon Isaac

Weaving our Words with Pauletta Hansel

Writing Funny with Ben Sandman

Voices: Poetry & Sounds Troupe with Ashley-Devon and Brooks

Other:

Student's Name and Age *

What school does your student attend? *

Zip Code *

Gender Identity or Preference

She/her/hers

He/His

They/Them

Clear selection

Parent/Guardian: Please type your name below as a form of electronic signature if you agree to our use of images and video clips from our virtual classes used for Teaching Artist training, program storytelling, and marketing/outreach materials. *

Would you like to be included in our newsletter to receive information about special programs, events, and WordPlay news? *

Yes

Send me a copy of my responses.

Submit

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