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2016 Summer Writing Academy
Summer Writing Academy Registration and Questionnaire
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Student's Name
*
Your answer
Grade student will be entering in the fall
*
Your answer
Parent/Guardian's name
*
Your answer
Parent/Guardian contact information. Please include phone, email, and emergency contact info.
*
Your answer
Who will be picking up/dropping student off (If other than parent/guardian)?
Your answer
Which session are you registering for?
*
$375.00- Session 1 July 18-29 11:00 am -1:00 pm
$375.00- Session 2 August 1-12 11:00 am - 1:00 pm
$675.00- Attend Session 1 and Session 2
$187.00- Narrative Writing Session August 8-12 11:00 am - 1:00 pm
List any health, or allergy related information, you would like me to know about your child.
Your answer
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