Gorham Young Authors Camp 2019 Registration
Monday, June 24 - Friday, June 28, 2019, 9:00 AM - 2:00 PM at the Gorham School Department Central Office, Gorham, Maine
Camper's name *
Your answer
CURRENT grade (right now, this school year 2018-2019) *
Parent/Guardian name(s) *
Your answer
Your Address - include your street address, town, state, and zip code *
Your answer
Parent(s) e-mail - Information will be sent to this (these) e-mail address(es). Please put commas between multiple addresses and TYPE CAREFULLY. *
Your answer
Student email, if none, write none *
Your answer
Parent cell phone number(s) *
Your answer
What school does your child currently attend? *
Your answer
Other health/behavioral information that the teachers should know. Please write none if there is none. *
Your answer
Tee shirt size *
Please choose carefully; we don't have extra shirts, and we order the size you request.
Do you give permission for your child to take walking excursions about the town with the YAC staff? *
Checking off 'yes' will serve as electronic permission.
Do you give permission for your child’s photo to be used in future publications for the Southern Maine Writing Project? *
Checking off 'yes' will serve as electronic permission.
How did you hear about this camp?
Your answer
Once you have completed this form, send a check made out to the University of Southern Maine for $199 to Lorrie King, SMWP YAC Registrar, 215 Melissa Drive, Yarmouth, Maine 04096
Registration needs to be in by June 1, 2019. Thanks so much!
Your answer
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