Creative Writing Summer Camp Registration Form

The Creative Writing Summer Camp is a five-day program for high school students ages 14-17. Led by professors from Widener’s Creative Writing Program, students write original poems, short stories, and creative essays as they explore and are inspired by the techniques of contemporary writers. Along the way, students engage in short writing activities, respond to each other’s work, and interact with Widener undergraduate humanities students—all while developing the skills to express themselves as part of a literary community.

Open to: High School students ages 14-17

Camp Dates: June 26-30, 2023; Monday-Thursday from 9:00 AM-3:00 PM and Friday from 9:00 AM-1:00 PM

Registration Fees: $70 until June 1; $100 after June 1st (click here to pay through Widener University's Marketplace)

Registration Deadline: June 16, 2023

*Lunch is provided and will occur in Widener’s Pride Café.

Complete all fields below to register.

Student Name*

First NameMiddle NameLast Name

Birth Date

MonthDayYear

High School*

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Student Email*

example@example.com

Student Phone Number*

(000) 000-0000

Parent/Guardian 1 (Primary Emergency Contact)*

First NameLast Name

Parent/Guardian 1 Email*

example@example.com

Parent/Guardian 1 Phone Number*

Parent/Guardian 2 (Secondary Emergency Contact)

First NameLast Name

Parent/Guardian 2 Email

example@example.com

Parent/Guardian 2 Phone Number

NOTICES

1. This application will not be considered complete unless all information has been provided.

2. Only complete applications will be accepted for admission into the summer camp.

3. Completed application and paid registration fee are due by: Friday, June 16, 2023.

CONDITIONS OF ENROLLMENT

1. I understand that part of the camping experience involves activities and interactions that may be new to my child. These things come with certain risks and uncertainties beyond what my child may be used to dealing with at home. I am aware of these risks, and I am assuming them on behalf of my child. I realize that no environment is risk-free, and so I have instructed my child on the importance of abiding by the camp’s rules. My child and I both agree that my child will obey these rules.

2. I agree that any dispute concerning, relating, arising out of or referring to the subject matter of this contract shall be resolved exclusively by binding arbitration in Delaware County, Pennsylvania, according to the then existing commercial rules of the American Arbitration Association and the substantive laws of Pennsylvania. Any claim brought for breach of the agreement, the non-prevailing party shall, in addition to any other remedies, be required to pay prevailing party’s attorney fees and other costs of defense.

3. Students and parents/guardians agree to abide by Widener rules and regulations.

Photo/Video Consent

I consent to have my child participate in photographs and videos of Widener’s Creative Writing Summer Camp and to have those photos and/or videos used for promotional use.

For questions or to request disability accommodations, please contact Dr. Jessica Guzman at (610) 499-4375 or jbguzman@widener.edu prior to the event.

Signature

Powered by Jotform Sign Clear