Form
Writers at Harriman Registration Form
Date of application
-
Month
-
Day
Year
Date
Type of application
Idaho Resident ($495 tuition) Tuition is not required until acceptance is sent.
Out of State Resident ($595)
Returning Student ($350)
Financial Need Scholarship Applicant
For scholarship applicants, will you still be interested if you only receive a partial scholarship?
Tell us a little about yourself and why you're interested in this camp.
Student's full name, please include preferred nick names
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent or Guardian's name
First Name
Last Name
Parent or Guardian's telephone number
Please enter a valid phone number.
Parent or Guardian's email address
example@example.com
Student's telephone number
Please enter a valid phone number.
Student's email address
example@example.com
Student Pronoun preference
He / Him
She / Her
They / Them
Does the student have allergies or food concerns we should be aware of? If so, please describe those needs below.
Does the student have any emotional, mental, or physical impairment that would require a parent, guardian, or healthcare professional to accompany them during camp? If so, please contact the camp Director, Sherry Briscoe at sherryabriscoe@gmail.com.
Name of School
Entering grade
9
10
11
12
College
Teacher who knows the student well
Teacher's email address
example@example.com
What does the student like to read?
Tee Shirt Size
small
medium
large
XL
XXL
How did you hear about Writers at Harriman?
Facebook
Poster
From a friend
From a teacher
Website search
Instagram
Submit
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