1. Student Name: ____________________________________________________Age: ____________
 
2. Street Address: __________________________________ City ______________ Zip code ________
 
3. Phone number: ________________________________________
 
4. Contact email address: ______________________________________________________________
 
100-word essay on why you want to take this workshop
(parents can help complete this section, use an additional sheet if you need more room.)
 
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NOTE: Application implies a commitment to attend all sessions and the public reading on August 16.
 
Parent’s signature for permission to attend creative writing workshop and culminating student performance. I also grant permission for Writers On The Edge to use photos taken during the workshop and performance to be used in promotional material.
 
I, _____________________________________________, grant permission for my son/daughter _______________________________ to participate in all aspects of the creative writing workshop described above, held August 4-16, 2008, and including the performance on Saturday, August 16, at the Nye Beach Writers’ Series.
 

Return this completed form to: WRITERS ON THE EDGE, P.O. Box 85, Newport, OR 97365
Questions? Call Carla Perry at (541) 574-7708.