Creative Writing with Sara Graybeal
REGISTRATION for Creative Writing Class MONDAYS 1-3 p.m. beginning January 22 and running through March 12, 2018 with March 19 held as a weather make up day. Class will meet at 3349 Alston Chapel Road, Pittsboro, NC 27312, in a home across the street from Clapping Hands Farm. Age range 9-17. Minimum 5 students, Maximum 12 student. COST $135 for the 8 week session.
Name of writer *
List student's FIRST AND LAST NAME here. PLEASE FILL OUT A SEPARATE FORM for each student if you have more than one attending.
Your answer
Writers DATE OF BIRTH *
Your answer
Question for writer: What are your creative writing interests? Do you prefer writing poetry, fiction, creative nonfiction, spoken word? Or all of the above? *
Your answer
Parents Name/s *
List parent's first and last names here:
Your answer
Email Address/es *
please list ALL emails you would like on our creative writing email loop
Your answer
Phone number/s of Parent/s *
please let us know who's number is who's---ex: Louise ###-###-####, Holmes ###-###-####
Your answer
Mailing address *
Your answer
Your location for car pool purposes *
Please describe your general location for car pool purposes "SE Durham" or "on the Pittsboro Moncure Road" for example.
Your answer
Payment Information *
Cost of this workshop is $135 per student. Checks should be made out to Clapping Hands to 3348 Alston Chapel Road, Pittsboro NC 27312. You can send the total owed now. You can divide the total into payments on a schedule you describe below. You can request scholarship assistance. You can make a tax deductible donation to our camp scholarship fund by making a check to our fiscal sponsor, Fractured Atlas, and sending it to the same address or online here: https://www.fracturedatlas.org/site/fiscal/profile?id=14213 (Camp fees are not tax deductible, only donations above and beyond the camp fee.) Let us know your plan below please!
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms