Teens Write Form

Teens Write Form

GPCWC Teens Write!

Saturday, August 10, 2019
9:45 am - 3:45pm

Secure Online Registration

Walk-ins are welcome!

NOTE: There is no additional charge or need to register if you are already registered to attend the conference on Saturday.

Parents and teachers may pay at the door to attend workshops or part 3 and 4 of  the continuing session during Teens Write. Cost $25 each.

All are welcome free of charge to the 8:30 am and 4:00 pm keynotes.

Date:   mm/dd/yyyy format
First Name:
Middle Initial:
Last Name:
Address:
 
City:
State:
Zip:
Email:
Church:
School:
Age:
Teen Phone: format (999)999-9999 (only enter the numbers)
Please tell us how you learned about Teens Write!
 
Characters Left
 
I (name of parent or guardian) give permission for my child to attend Teens Write, Saturday, August 10, 2019.
In the event of an emergency. I may be reached at
 
Registration Fee for Teens Write!
 
$35 (through July 1) , $45 (after July 1)
 
Pizza Feast is NOT available after August 1.
Optional Pizza Feast lunch for  $8 or you may brown bag. Lunch choices including garen salad.
Meat Veggie  Cheese  Gluten Free Cheese
 
Parents: If you want to have lunch with your teen, please select your Lunch choice including garden salad below.
Optional Pizza Feast lunch for  $8 or you may brown bag. Lunch choices.
Meat Veggie  Cheese  Gluten Free Cheese
 
 
Payment Options
I will pay the entire amount via PayPal by clicking the button on the next page. (You do not need a PayPal account.)
I will mail a check for the entire balance due within the next week.