April 20th - World Building
Student Name *
First and Last
Your answer
School *
Your answer
Age *
Your answer
Grade *
Your answer
Parent/Guardian Name *
Your answer
Parent/Guardian Address *
Your answer
Contact Phone *
Your answer
Contact Email *
Your answer
Allergies? Anything else we should know?
Your answer
Does your child enjoy writing?
(optional)
Dabbles...
Loves it!
What genres does your child find interesting?
Choose up to 5 (optional)
Any genres we missed that your child finds interesting
(Optional)
Your answer
How does your child excel as a writer?
(Optional)
Your answer
What struggles does your child have with writing?
(optional)
Your answer
As part of our regular programing, we sometimes take photos, audio and video recordings of children in action as they participate in the classrooms, workshops, Summer Camps, Open Mics, events, etc. We also love to highlight the talent of our young writers by publishing their written work on our website, social media, or in other media. We would like you to indicate below uses of images, audio and video of your child(ren) and written products by your child(ren) as permissible. This is completely up to you. We will only use these in ways in which you agree. With any use of these images, audio and/or video, student names and other personal information will NOT be identified, unless first discussed with the parent or guardian.
By agreeing I acknowledge that since participation in publications and websites produced by Denver Writes is voluntary, neither the minor children nor I will receive financial compensation. I further agree that participation in any publication and website produced by Denver Writes confers no rights of ownership whatsoever. I release Denver Writes, its directors, officers, committee members, employees, volunteers, and agents from liability for any claims by me or any third party in connection with my participation or the participation of the below named minor children. I have read the above description and give my consent for the use of the images, audio, video as well as written product as indicated above.
Suggested Donation of $25 *
by PayPal or by Mail
Next
Never submit passwords through Google Forms.
This form was created inside of Denver Writes. Report Abuse - Terms of Service