2023 Almost Authors Kids Writing Camps 
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Email *
Student First Name *
Student Last Name *
Student Age *
Student Pronouns
Parent/Guardian First and Last Name *
Parent/Guardian Email *
Parent/Guardian Phone *
Parent/Guardian Mailing Address *
Emergency Contact name and phone *
Cynthia Levinson - Nonfiction - Saturday, May 13th from 9:30am to 12pm * includes light brunch* *
Required
Candace Fleming and Eric Rohmann (Author & Illustrator) Wednesday, June 21st  10:am to 2:15pm *
Required
Jessixa Bagley - Author/Illustrator Wednesday, July 26th 10:am to 2:15pm *
Required
J. Scott Savage - Fantasy Author - Wednesday, August 16th from 10:am to 2:15pm   *
What school does your child attend? *
How did you hear about us? *
Required
We will provide healthy snacks and lunch for your child. Please advise if there are any dietary or medical concerns. *
I, the undersigned, hereby release Almost Authors Jackson Hole Writers, its Board of Directors, staff and volunteers from any and all causes of action for personal injury and/or property damage resulting from my/my child’s participation in Almost Authors activities. *I do hereby authorize Jackson Hole Writers to publish names and/or any photographs taken of me/my child for use in printed publications, website, or other marketing venues. I acknowledge that participation is voluntary and I/my child will not receive financial compensation for use of such photographs. I further release Jackson Hole Writers from any claims by me or any third party in connection with my participation by me/my child.                                                                                        * COVID Assumption of Risk: The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization. JHWriters will follow current local health guidelines to reduce the spread of COVID-19; however, JHWriters cannot guarantee that you will not become infected with COVID-19. Participant and guardians hereby acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that Participant may be exposed to or infected by COVID-19 by participation; and that such exposure or infection may result in personal injury, illness, permanent disability, and death. Participant agrees to follow all Covid-19 related protocols put in place by Jackson Hole Writers or will to be allowed to take part in the activities. *
A copy of your responses will be emailed to the address you provided.
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