Summer Youth Writes! with K. B. Hoyle
Registration Form for Summer Youth Writes! with K. B. Hoyle – a Creative Writing Camp
Participant Grade (rising into):
Week of Summer Youth Writes! you are registering for (all $75, which includes a $15 nonrefundable registration fee):
Camp 1: June 10-14 (10-11:30 AM)
Camp 2: June 24-28 (1-2:30 PM)
Camp 3: July 22-26 (10-11:30 AM)
Name of Parent or Guardian:
Parent/Guardian Contact Info (name, phone, email):
Okay to text you?
Emergency Contact if you can't be reached (name, relation to participant):
Emergency Contact phone:
Food allergies or other concerns (please list):
$15 (nonrefundable) is required to register for this class today, with the $60 balance due by the first day of class. Please choose your payment option:
Paying $75 total via PayPal today
Paying $15 registration today via PayPal and $60 via PayPal by the first day of my selected class
Paying $15 registration today via PayPal and $60 cash on the first day of my selected class
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This form was created inside of Author.