Writing Workshop Summer Camp Enrollment Form
Learn from writers!
Parent (Guardian) Name
*
First Name
Last Name
Parent Email
*
example@example.com
Parent Phone
*
Please enter a valid phone number.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Student Name
*
First Name
Middle Name
Last Name
Student's Personal Email (Do not enter school email.)
*
example@example.com
Student Phone (if applicable)
*
Please enter a valid phone number.
School
*
Grade (Follow this example format: 7th / 2024-2025)
*
Session Period (You may choose more than one.)
*
Session C July 8-July 19, 9AM-12PM
Session D July 22-August 2, 9AM-12PM
[Online or In-Person] Please indicate if your child wants to enroll in our in-person camp or interactive online camp. Both sessions will be equally effective, so choose an option that is convenient for you. [NOTE] In-person students may need to bring and wear a mask if required by the instructor.
*
ONLINE
In Person
Either is Fine as long as there is availability for me/my child.
Goal of joining our writing camp
*
I want to improve my writing skills in general.
I am interested in majoring in writing in the future.
I want to be published before my college applications.
I have an upcoming essay writing test.
Others
Notes (Leave any messages that you think can be helpful for us to understand the student. You may also want to use this field for more information if you chose "Other" as your answer for the previous question.
My Products
*
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Writing Camp Deposit ONLY
The balance needs to be paid prior to the first class session. The balance will be $600. The balance needs to be paid prior to the first class session. An additional invoice will be emailed to you.
$
100.00
Quantity
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Writing Camp Full Payment
$
700.00
Quantity
1
2
3
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Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Complete Registration
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