Registration Form

Workshop Registration Form

One form per writer.

* Indicates required field

Writer's Name *

First

Last

Writer's Age *

Writer's Email *

Parent/Guardian Name 1 *

First

Last

Phone 1 *

Email 1 *

Parent/Guardian Name 2 *

First

Last

Phone 2 *

Email 2 *

Address *

Line 1

Line 2

City

State

Zip Code

Country

I give permission to Woven Word Young Writers to use workshop photos and video on Woven Word’s website, social media page, and email outreach. *

Yes No

Note: Except in extreme cases, Woven Word workshops do not censor writing. If you have concerns about sensitivity to writing, please call.

Any special writing interests or goals? *

Please rate swimming ability (for summer workshops). *

Any special learning styles you'd like to describe? *

Any medical concerns? *

Once you hit submit, you will be redirected to the workshop page, where you can select and pay for your chosen workshop(s). Thank you!

(Sliding scale is available to families with limited incomes – Please email Lynn to inquire.)

Submit

Telephone

413-584-3373

Email

lrbowmaster@gmail.com

Workshop Registration Form

Telephone

Email

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