Summer Writing Workshops at The Word Barn: Registration Form

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Summer Writing Workshops at The

Word Barn
REGISTRATION FORM
Please complete this form and return with requested payment to
the address below.
Name:
___________________________________________________________
Address:
_________________________________________________________
Town/City: ______________________ State:
_______________Zip:__________
Email (please print or type clearly):
______________________________________
Phone: ______________________
Select a writing workshop: ___Poetry
___Creative Nonfiction

___Fiction

___Memoir

How did you hear about the Writing Workshops at The Word
Barn? _____________
In 1-3 sentences, please share your experience with creative
writing workshops. If you have never attended a workshop, that
is completely fine.

Complete payment ($240) is due by the start of the first


workshop session.
At this time, The Word Barn only accepts personal checks, money
orders, or cash.
Make checks payable to The Word Barn.
Please mail a $40 deposit (to secure your spot in a workshop)
to:
The Word Barn
66 Newfields Road
Exeter, NH 03833
Photo/video release:
I hereby give permission for photos or videos captured during
The Word Barn Writing Workshops to be used solely for the Word
Barns promotional purposes.
Print Name: ______________________________________
Signed: ___________________

Date: __________________

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