WILDACRE WRITERS WORKSHOP APPLICATION 2009

Fill it out, print it out, SIGN IT and mail it, with your deposit.

For best results: 1. fill in blanks 2. check for errors, especially check boxes. 3. Print out. 4. SIGN. 5. Mail with deposit

Each person attending MUST fill out an application, even if you are a spouse/other and are not taking any classes.

Last Name First Name

Address CitySt
Zip

Home phone (Include area code)Cell

E-Mail address

I am attending the workshop/retreat with my spouse/other but I will not be taking classes.If you check this box you can go to the bottom of the page.

Please check which week you wish to attend:

Writers Retreat June 27 - Jul 3 Fee $345. Deposit $145. Balance $200 (Must be alumni)

Writers Workshop July 3-10 Fee $590. Deposit $250. Balance $340

Both Retreat and Workshop Fee $935. Deposit $395. Balance $540

If you chose retreat ONLY, please skip to "I have a roommate". Sorry we do not provide airport transportation for retreat only.

Please click on one box to select your preference of class for Writers Workshop.

(Writing Workshop 3-10)

Poetry	Novel	Short Story
Contemporary Commercial Fiction	Creative NonFiction	Play/Scriptwriting

As an alternate workshop, I would consider

For Instructor I prefer My second choice is

If you are flying, do you require transportation from us to and from the airport? Yes No

I have a roommate. Yes No If you said yes, what is your roommate's name?

DON'T FORGET TO SEND YOUR WRITING SAMPLE! (Not required for retreat only)

PLEASE NOTE: Smoking is not allowed in the rooms, or any building at Wildacres. Smoking is only permitted OUTSIDE:

PERSONAL INFORMATION:

To help us match you up with a roommate if you do not bring your own, you must provide information about yourself with your application. (This includes Alumni) We need to know if you smoke, if you snore, if you are a day or a night person, age (approximate), marital status and anything else that will help us pick out just the right person for you to share the week with.

The deposit is due with your application. The application does not secure your space, only the deposit does. Don't forget the van fee ($50) if you require airport transportation.

Make checks payable to: Judi Hill/Wildacres

Mail Application along with your deposit check to:

Wildacres Writers Workshop, Judi Hill, Director, 233 S. Elm St. Greensboro NC 27401

NOTE: If your check is declined, you will have 7 days to provide a certified check or a money order for the full amount plus a $20 service fee.. After 7 days we give your spot to another applicant.

 I have read all the instructions and I understand that if I miss a deadline for submission of a manuscript or a BALANCE, I may be cancelled and my spot given to another applicant.

SIGNATURE______________________________________________________

APPLICATIONS THAT ARE NOT SIGNED WILL BE RETURNED!

IMPORTANT NOTICE: To ensure that I receive anything that you mail (application, check, writing sample or manuscript) please use Delivery Confirmation from the Post Office. You can track it on-line. I will notify you when I receive your application and deposit check. Remember, the application does not secure a spot at Wildacres, only a deposit does. If you do not hear from me in a reasonable time, please e-mail me.

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