Registration 2019
School Name
Your answer
School Address
Street Name
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School Address
City, State and Zip
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School Phone
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Principal's Name
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Principal's E-mail
Your answer
School District
Your answer
Student Name
Your answer
Student Grade
Number only (i.e. 3, 7, 10)
Your answer
Writer of Artist
Writers grades 3-12 Artists grades 6-12
Student Name
Your answer
Student Grade
Number only (i.e. 3. 7,10)
Your answer
Writer or Artist
Writers grades 3-12 Artists grades 6-12
Student Name
Your answer
Student Grade
Number only (i.e. 3, 7, 10)
Your answer
Writer or Artist
Writers grades 3-12 Artists grades 6-12
Student Name
Your answer
Student Grade
Number only (i.e. 3, 7, 10)
Your answer
Writer or Artist
Student Name
Your answer
Student Grade
Number only (i.e. 3, 7, 10)
Your answer
Writer or Artist
Student Name
Your answer
Student Grade
Number only (i.e. 3, 7, 10)
Your answer
Writer or Artist
Writing Teacher Name
Teacher who will lead a group of writers at the conference
Your answer
Teacher email
Your answer
Grade Preference
Your answer
Writing Teacher Name
Teacher who will lead a group of writers at the conference
Your answer
Teacher email
Your answer
Grade Preference
Your answer
Art Teacher
MS or HS teacher who will lead a group of artists at the conference
Your answer
Teacher email
Your answer
Art Teacher
Your answer
Teacher email
Your answer
Payment options
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