Teens Write Form

Teens Write Form

GPCWC Teens Write!

Saturday, July 28, 2018
9:45 am - 4:00 pm

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 the continuing session during Teens Write. Cost $30 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, July 28 2018.
In the event of an emergency. I may be reached at
 
Registration Fee for Teens Write!
 
$45 (through July 15) , $55 (after July 15)
 
Optional box lunch for $10 or you may brown bag. Lunch choices.
Chicken Salad  Ham Classic  Turkey Bacon Ranch  Chef Salad
 
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.