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Writers at Harriman Application Form
Student Registration Form
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Email
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Instructions
Skip over the first line above (email). If you do not get a response in 24 hours, copy answers and email them to writersatharriman@gmail.com.
Date of application
MM
/
DD
/
YYYY
Type of application
*
Idaho Resident ($495 tuition) Tuition is not required until acceptance is sent.
Out of state Resident ($595 tuition)
Returning student ($350 tuition)
Financial need scholarship applicant
For scholarship applicants, will you still be interested if you only receive a partial scholarship?
Yes
No
Maybe
Tell us a little about yourself and why you're interested in this camp.
*
Your answer
Student's first name
*
Your answer
Nick name if preferred
Your answer
Student's last name
*
Your answer
Street address
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Your answer
Town, State, and zip code
*
Your answer
Parent or Guardian's name
*
Your answer
Parent or Guardian's telephone number
*
Your answer
Student's telephone number
*
Your answer
Parent or Guardian's email address
*
Your answer
Student's email address
*
Your answer
Student Pronoun preference
*
He / Him
They / Them
She / Her
Does the student have allergies or food concerns we should be aware of? If so, please describe those needs below.
Your answer
Does the student have any emotional, mental, or physical impairment that would require a parent, guardian, or healthcare professional to accompany them during camp? If so, please contact the camp Director, Sherry Briscoe at sherryabriscoe@gmail.com.
Your answer
Name of School
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Your answer
Entering grade
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9
10
11
12
college
Teacher who knows the student well
*
Your answer
Teacher's email address
*
Your answer
What does the student like to read?
*
Your answer
T-Shirt size
*
small
medium
large
XL
XXL
How did you hear about Writers at Harriman?
Facebook
Tik Tok
Poster
From a friend
From a teacher
Website search
Instagram
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