IWT On the Road @ Chicago · Registration for Core Workshops · 1/25/19
To register for the IWT Core Workshops taking place on January 25, 2019, complete this registration form (remember to include your complete address and zip code) and then press SUBMIT to be registered. We will confirm receipt of your registration within ten business days. Please email us at iwt@bard.edu if you have any questions about registration.

Please note: Please make checks payable to Bard College IWT and mail to Business Coordinator, Institute for Writing & Thinking, PO Box 5000, Bard College, Annandale-on-Hudson, NY 12504. We also accept school purchase orders.

Note that we do not accept credit card payments at this time.

Workshop Fee: $500 per participant during "Early Bird" registration period, which lasts until January 1, 2019. Please note that all Early Bird registration fees MUST be paid in advance of the date of the workshop or will revert to the standard rate of $575.

Standard registration fee, in effect after January 1, 2019: $575.

If you are part of a group of three or more teachers from a single school, you must register on the same day in order to receive the 10% discount.

Again, we cannot accept online/electronic/credit card payment.

Email address *
First Name *
Your answer
Last Name *
Your answer
Street or PO Box *
Your answer
City or Town *
Your answer
State or Province *
Your answer
Zip or Postal Code *
Your answer
School *
Your answer
School Address *
Your answer
School City or Town *
Your answer
School State or Province *
Your answer
School Zip or Postal Code *
Your answer
Billing Contact Name *
Enter the name of the Billing Contact person at your institution. We do not accept credit cards.
Your answer
Billing Contact Email *
Enter the email address for the Billing Contact person at your institution. We do not accept credit cards.
Your answer
Home Phone Number
Your answer
Work Phone Number
Your answer
Subject Area *
Please check any/all that apply.
Required
Grade Level
Your answer
Please list dates and locations of writing workshops and conferences you have participated in, at Bard or elsewhere.
Your answer
First Choice Workshop *
Please list your first choice workshop
Second Choice Workshop *
Please list your second choice workshop
Do you have any allergies or dietary restrictions that you would like us to know about?
Your answer
Additional notes:
Your answer
We do not accept electronic/online payment, nor can we accept credit cards. *
A copy of your responses will be emailed to the address you provided.
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