Peaky Midwest Registration 2018
Email address *
Other Contact Info
Your Name: *
Your answer
(Writers only) Name for Publication:
If you want something other than the name above used to give you credit for your work, enter it here. Enter None if you would rather not have any name published.
Your answer
Phone Number: *
(cell preferred)
Your answer
Policies
I have read the appropriate part of the Peaky Midwest website. *
Required
Details on Attending
I wish to attend as a: *
Would you like to apply for a writer scholarship?
Peaky Midwest has reserved three scholarships to cover writer registration for people who wouldn't otherwise be able to attend.
Do you have any dietary restrictions or food allergies? *
We will do our best to make sure you have good things to eat but we need to know in advance what to plan for.
Your answer
Do you have any physical limitations or medical conditions that we should know about?
Your answer
(Writers only) Will you be bringing a laptop to use for writing?
(Writers only) Can you bring a laptop to loan someone else?
This is optional. We appreciate it but it's ok if you can't.
(Writers only) Can you bring a printer to use?
We'll provide paper but not toner or ink.
Lodgings
Some crash space may be available at the workshop site, but we can't guarantee that there will be any left when you register. Please plan on bringing your own bedding and air mattress if you want to crash with us. If you ask us for crash space an organizer will do their best to get back to you within a week to let you know if we can accommodate you. If you don't ask us for crash space when you register please don't expect any to be available for you at the event. If you register and later discover that you need crash space, please immediately email us at peakymidwest at gmail dot com and be prepared to make alternate plans if we cannot accommodate you.

If you would prefer to stay in a hotel near the workshop site we can recommend the "Holiday Inn Express & Suites Lake Zurich-Barrington" or the "Hampton Inn & Suites Chicago Deer Park".

Do you need crash space at the workshop site?
Your answer
Transportation
If you plan to take the train out to the workshop site we can probably arrange for someone to pick you up from the Barrington Metra station. Please tell us if you will need pickup and roughly when you plan on arriving.

There may be other attendees able to give rides from the surrounding area, but we can make no guarantees about other attendees' plans. Please tell us if you are looking for a ride and we will make sure that you have access to the Peaky Midwest email list where you can ask other attendees who might be heading the same way.

Do you need help with transportation to or from the workshop?
Your answer
Other
Is there anything else we should know?
Your answer
Note
An email receipt with your registration will be sent to the email address you entered at the beginning of this form. If you do not see an email receipt within 12 hours of submitting your registration, please email peakymidwest at gmail dot com to tell us and we will figure out what has gone terribly wrong. ;)
A copy of your responses will be emailed to the address you provided.
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