Please print this form and mail it with a SASE (self-addressed, stamped envelope) and a non-refundable $100 minimum deposit to Audrey Stallsmith, Registrar, 87 Pines Road East, Hadley, PA 16130. Make checks payable to SDCWC. Submit one form for each person. Registration deadline is June 2.
Name:_______________________________________________
Address:_____________________________________________
E-mail:_________________________________
Phone: __________________________
Tuition:
Full-time, on campus..............................................$250.00 ____
Full-time, commuter...............................................$300.00 ____
(Includes lunch T-F)
Commuter, single-day tuition (includes lunch).............$80.00 ____
Commuter, single AM class, 4 days (no lunch)...........$100.00 ____
Room and Board:
Double Room for 5 nights with meals.......................$240.00 ____
Single Room for 5 nights with meals.........................$285.00 ____
Tutorials and Professional Critiques:
Tutorial--book proposals, full-length plays, etc..........$125.00 ____
Tutorial--articles, short stories, poetry, 1-act plays.....$95.00 ____
Marketing Consultation.............................................$35.00 ____
Discounts
(Check info to see if you qualify.):
Mini-Conference Credit ....................deduct $10.00 or $25.00 ____
Early Bird Discount.........................................deduct $10.00 ____
(Full-time only. Full payment by June 2.)
Payment........................................................Total enclosed ____
Please send me information regarding: ____Contests ____Scholarships/Work study ____Professional Critique/Tutorial
Any physical disabilities or limitations?________________________
Please send me ____ additional copies of the brochure.
Will you be bringing books to sell on consignment? ____Yes ____No
First Timer? ____Yes ____No
Writing Level: ____Beginner ____Intermediate ____Advanced ____Professional
Main area(s) of writing interest:
________________________________________________
Please list the morning workshops you plan to take:
______________________________________________________
