Writing Our Lives - Youth Writing Conference 2019
REGISTRATION FORM
Email address *
Participant's Name *
Your answer
Age (12 - 18) *
Your answer
Parent/Guardian Name
Your answer
Phone Number *
Your answer
I consent to be photographed on November 9, 2019 by Believe in Syracuse while attending the Writing Our Lives conference. I authorize that photographs may be published for Believe in Syracuse purposes. *
Required
Do you have any dietary restrictions?
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A copy of your responses will be emailed to the address you provided.
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