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Registration for WriteByNight’s Summer Session is currently open.

Register online on our Products Page or register by mail as follows:

• Print and complete the form below (including Youth Workshop Questionnaire, if applicable)
• Enclose check in the amount of $165 for a 4-week workshop; $240 for 8 weeks; $195 for children & teen
• Return registration form and payment to WriteByNight, 630 S.E. Ocean Blvd., Apt. B-5, Stuart FL 34994

 WORKSHOP REGISTRATION FORM
Summer Session

 

NAME _________________________________________________________________

ADDRESS ______________________________________________________________

________________________________________________________________________

HOME PHONE __________________________ CELL ________________________

EMAIL ________________________________________________________________

 

Martin County:                                                                     Indian River County:                              

□   Creative Writing, Summer Session I                            □   Creative Writing, Summer Session I                                                          
□   Creative Writing, Summer Session II                          □   Creative Writing, Summer Session II
□   Children & Teen, Summer Group I
            Age   □ 7-9     □ 10-12     □ 13-15
□   Children & Teen, Summer Group II
            Age   □ 7-9     □ 10-12     □ 13-15


 How did you hear about us?:

□   Local publication or posting . . . which one? ____________________________
□   Local event . . . which one? ____________________________
□   Word of mouth/Referral . . . by whom? ____________________________
□   Internet search or posting . . . which one? ____________________________




I understand and agree to WriteByNight’s policies as stated on www.writebynight.net or as explained to me by an official workshop representative.

SIGNATURE _________________________________________ DATE ___________

AMOUNT ENCLOSED ___________ 
*Please make checks payable to WriteByNight




 

YOUTH WORKSHOP QUESTIONNAIRE

YOUTH’S FULL NAME _____________________________________________________

AGE __________          GRADE __________

 

WHAT ARE YOUR HOBBIES? _________________________________________________________

________________________________________________________________________________

________________________________________________________________________________

 

LIST THREE OF YOUR FAVORITE BOOKS AND/OR AUTHORS:

1. _____________________________________________________________

2. ________________________________________________________________

3. ________________________________________________________________

 

WHAT DO YOU LIKE TO WRITE? _____________________________________________________

________________________________________________________________________________

________________________________________________________________________________

 

WHAT DO YOU HOPE TO GAIN FROM THE WORKSHOP?____________________________________

________________________________________________________________________________

________________________________________________________________________________

 
ADDITIONAL COMMENTS _____________________________________________________________

________________________________________________________________________________

________________________________________________________________________________
 

 

 

 

WriteByNight is sponsored by The Arts Council, Inc. Serving Stuart & Martin County 
and the Cultural Council of Indian River County