Creative Writing Club Registration

Creative Writing Club Registration Page

Thank you for your interest in our writing clubs. Please enter the necessary information in the boxes below. All fields marked with and asterisk are required fields. Feel free to sign up for more than one club at a time if you feel it is appropriate.

You will receive a confirmation email after you submit this form and a space will be reserved for you. You will also receive a reminder email one or two days prior to the scheduled club meeting.

This form is for reserving a space only, this is not a financial transaction. We will contact you via email regarding payment options once your space has been confirmed.

Writing Club Registration

Please note that all fields followed by an asterisk must be filled in.

Writing Club:*
Writing Club:*

	Dragon Writers
	Dream Catchers
	Generation X-Pression
	Tenth Muse Society

First Name*
First Name*

Last Name*
Last Name*

E-mail Address

Street Address*
Street Address*

City*
City*

State/Prov*
State/Prov*

Zip/Postal Code*
Zip/Postal Code*

Country*
Country*

Home Phone*
Home Phone*

Business Phone

Parent's Name*
Parent's Name*

Additional Information or Comments