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Creative Writing Workshop Registration
Register by completing this brief form.
$395 per session - aid available
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Email
*
Your email
Student First Name
*
Your answer
Student Last Name
*
Your answer
Student Current Age
*
Your answer
Student Current School
*
Your answer
Select Session(s) $395
*
June 17-20
June 24-27
August 12-15
Required
Parent Full Name
*
Your answer
Parent Cell Contact #1
*
Your answer
Parent Cell Contact #2
*
Your answer
Home Address - Street & Town
*
Your answer
Please check - General Release
*
I agree to release the instructors of liability for any incidents during workshop for my child named above.
Please type electronic signature for above release.
*
Your answer
Payment Preference - $395 (financial aid available)
*
Venmo - will send Venmo to @Sue-McCarthy-15
Check - payable to Sue McCarthy - 2 Pederzini Dr. Medfield, MA 02052
Your Venmo Account
Your answer
My child has device (i.e.laptop or iPad) that he/she will bring to use to write at the workshop.
*
Yes
No
Use Venmo QR code
Your answer
A copy of your responses will be emailed to the address you provided.
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