ATP Student Writers Group Application

ATP Student Writers Group Application
Student Information
Name*

First Name Last Name
Pronouns
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Date of Birth*

MonthDay Year
Date
Parent/Guardian Information
Name*

First Name Last Name
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
For Students to Fill
Grade*
School*
Teacher/Mentor*
Why Do You Want to Join the Student Writers Group? (Minimum 500 Words)*

0/
Is There Anything You Want Us To Know About You?
For Parents to Fill
I authorize Alberta Theatre Projects to print and publish my child's work for internal use (a copy will be made available to me at the end of the program)*

YesNo
I acknowledge that my child will be participating in the ATP Student Writers Group. I allow Alberta Theatre Projects to use photos/video taken during meetings, workshops, finale showcase, etc. for promotional or grant-based use.*

Clear
I would like to apply for a bursary at this time.+

Yes
Please Explain The Reason You Are Applying For a Bursary
This is not a guarantee of receipt
Should be Empty:

Student Information