Kalama Word Catcher Pre-Registration

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Please fill out a seperate form for each person

Name *

Address *

Phone *

E-mail *

I wish to register for: *

Please mark your selections below. For scholarships available for 11th and 12th grade students, please contact Mary Putka at 360-673-5310 before submitting registration form.

1 workshop $20

1 workshop with 1 box lunch $28

2 workshops $35

2 workshops with 1 box lunch $40

Morning Sessions

Making Magic in Your Fantasy

The Art Of Personal Prayer Writing

Distill The Message, Cut To The Chase

The Way We Were

Clear selection

Afternoon Sessions

Rewriting, Rethinking

Writer, Edit Thyself

Who Died & Who Did It?

Revealing Character Through Dialogue

Clear selection

Did you choose to order a Box Lunch? *

Yes, I would like a Turkey Sandwich

Yes, I would like a Veggie Sandwich

Total fees *

Please add up the total fees from your selections above and enter the amount below

Payment Type *

Please select payment type. Make checks payable to Envision Kalama; and mail them to Envision Kalama, Box 1931, Kalama WA 98625. If you choose PayPal, click the "Donate" button at www.cityofkalama.com/word_catcher and enter the amount from the box above.

PayPal

Check

Name of person on Check or PayPal account *

Please enter the name of the person on the check or PayPal account. This way we can match the payment to the registration form.

Submit

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