Erasure Poetry Workshop Registration Form
Erasure poetry is a poetic form in which a poet erases or blacks out words from a preexisting source to create new poems.  Some erasure poems include visual designs such as illustrations, collage or painting.

In this workshop, you will learn about erasure poetry and create your own erasure poem using nature-inspired documents. You are invited to display your erasure poem at a gallery show prior to the Convergence performance at College of Lake County on Thursday, April 10!

FREE & OPEN TO THE PUBLIC! 

WHERE & WHEN

Tues., March 18, 6:30 - 8:30 p.m., Grayslake Heritage Center & Museum, 164 Hawley St., Grayslake, IL 60030
In partnership with the Grayslake Arts Alliance Writers’ Group

Sat., April 5, 10:30 a.m. - 12:30 p.m., Zion-Benton Public Library, Meeting Room A
2400 Gabriel Ave., Zion, IL 60099
In partnership with the Zion-Benton Writers’ Group

All materials and supplies will be provided!


Please agree to the following for yourself or if you are the parent or guardian of a participant younger than age 18, for the participant. (Workshops are open to those ages 13+). Participants ages 13 or younger must be accompanied by a parent or guardian.

Sign in to Google to save your progress. Learn more
Email *
What is the participant's full name? *
What is the participant's age? (We won't share this information.) *
What are the participant's preferred pronouns? *
What is the participant's email address? *
What is the participant's phone number? *
What is the participant's hometown?
Which workshop are you attending? *
Required
Please agree to the following for yourself or if you are the parent or guardian of a participant younger than age 18, for the participant. (Workshops are open to those ages 16+).

By registering for this program, I agree to the following: I hereby give the College of Lake County, its clients, agents and assigns, full permission to use and publish text, audio recordings, photographs, videos, or digital files made of me and/or my property, or any part thereof, either in conjunction with or without using my name and to make changes or alterations therein and/or additions thereto for publication, for advertising, in connection with testimonial copy or otherwise, and for any and all commercial purposes whatsoever, be it in print, broadcast or online.
 *
Required
Please agree to the following for yourself or if you are the parent or guardian of a participant younger than age 18, for the participant. (Workshops are open to those ages 16+).
                                               

As a participant in this writing workshop, I have the opportunity to have my poem or narrative appear on a collaborative Google map. I also agree to have the work on display at an art gallery showcase at College of Lake County on Thursday, April 10 prior to the performance of Convergence in A011. The Google map will also be posted on the Voices of Lake County website, www.voicesoflakecounty.com. In addition, Voices of Lake County has the right to take photos at the workshop and gallery show and display them on the Voices of Lake County website or use them in promotional materials such as flyers or social media and to offer them for use or distribution in other non-college publications such as news media releases, electronic or otherwise, without notifying me.  I hereby waive any right to inspect or approve finished photographs/videos/audio recordings, printed material, or electronic matter that may be used in conjunction with them now or in the future, whether that use is known to me or unknown, and I waive any right to royalties or other compensation arising from or related to the use of photographs/video/audio recordings.  I hereby agree to release, defend, and hold harmless College of Lake County District (and all participating community partners) and their agents or employees, including any firm publishing and/or distributing the finished product in whole or in part, whether on paper, via electronic media, or on websites, from and against any claims, damages or liability arising from or related to the use of the materials. I am (or the signing parent/guardian is) 18 years of age or older and I am competent to contract my own name.  I have read this release before signing below, and I fully understand its contents, meaning and impact of this release. I understand that I am free to address any specific questions regarding this release by submitting those questions to change this phrase to: Voices of Lake County Coordinators in writing via email prior to signing, in writing via email prior to signing, and I agree that my failure to do so will be interpreted as a free and knowledgeable acceptance of the terms of this release. By registering for this program and checking off this document, I (or the signing parent/guardian) verify that I have read, understood and accept the terms below regarding liability for my work.
 *
Because this free program has limited seating,  my registration is my commitment to show up for the workshop on the above date, and be on time.
 *
Required
I understand that I will be put on the waitlist for this program if I sign up after it fills up. Someone will notify me if this occurs. 
 *
Required
If I must cancel my registration, I will contact Laura Otto, with Voices of Lake County by at least two days prior to the workshop date by emailing lotto@clcillinois.edu. *
Required
How did you hear about this workshop? *
Why did you want to sign up for this workshop? *
Thank you for your participation! We look forward to seeing you at the workshop!
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms