Summer Writer's Workshop for High School Students July 8-12, 2013

Pre-Registration Form

PLEASE READ THIS IMPORTANT INFOMRATION BEFORE CONTINUING!

Registration for the Workshop for High School Students is an easy two-step process.

Step 1: Completely fill out the form below and submit it by clicking the “submit” button. You will receive a pre-registration email confirmation.

Step 2: IN ORDER TO CONFIRM YOUR STUDENT’S SPACE IN THE WORKSHOP:
Please print the pre-registration email confirmation and send the $25 application fee (payable by check or money order to Sarah Lawrence College) to:
Sarah Lawrence College
Office of College Events
One Mead Way
Bronxville NY 10708

Once the application fee has been received, we will send you a confirmation email! Please note that you are not confirmed until you receive a confirmation email with student ID number.

Please fill out all fields; fields with an asterisk (*) are required.

Name

First*

Last*

Birthdate*

Gender*

Email*

Phone (Cell)*

Address

Line 1*

Line 2

City*

State*

Zip/Postal Code*

Country*

Current Grade*

Current School*

Grade in September*

School in September*

Parent/Legal Guardian's Name*

Parent/Legal Guardian's Daytime Phone*

Parent/Legal Guardian's Email*

Parent/Legal Guardian's Name

Parent/Legal Guardian's Daytime Phone

Parent/Legal Guardian's Email

Emergency contact if parents cannot be reached:

Emergency Contact Name*

Emergency Contact Phone*

Registration form must received by April 5. Application fee must be postmarked by Monday, April 8, 2013.

Spaces are limited and are assigned on a first-come, first-served basis. If application fee is not received by April 12, the student name is removed from the pre-registration list and the next available student from the waitlist will be accepted. Full payment is due by Friday, June 7, 2013. Make checks or money orders payable to Sarah Lawrence College and mail to: Debra Finkelstein, Director of College Events, Office of College Events, Sarah Lawrence College, 1 Mead Way, Bronxville, New York 10708-5999. www.slc.edu/summer

I have read and agree to the information stated above, as indicated by placing my initials here:*