2016 Summer Writing Academy
Summer Writing Academy Registration and Questionnaire
Student's Name
Your answer
Grade student will be entering in the fall
Your answer
Parent/Guardian's name
Your answer
Parent/Guardian contact information. Please include phone, email, and emergency contact info.
Your answer
Who will be picking up/dropping student off (If other than parent/guardian)?
Your answer
Which session are you registering for?
List any health, or allergy related information, you would like me to know about your child.
Your answer
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