Parent/Guardian Information

Line Item

$150.00

This price does not include lodging. Lodging must be purchased separately. After May 31st, parent registration will increase to $180

Parent Name (printed on name tag)

Legal Name (if different than above)

Parent Email

Parent Phone Number

Meal Plan

The meal plan includes meals from Wednesday dinner through Sunday breakfast. (Breakfasts are continental breakfasts.)

Do you have any food allergies or dietary restrictions?

The dining hall can accommodate the following modifications: dairy/lactose-free meals, gluten-free meals, alpha-gal meals, and peanut + tree nut-free meals.

Will you be lodging on campus?

Because of venue policies, any attendee not lodging on campus must pay a $40 event fee.

Release Forms

This section must be filled out by a parent/legal guardian.

Liability Release

I agree not to hold the Young Writer, its leaders, employees, and volunteer staff liable for any incurred damages, losses, diseases, or injuries.

I have read and agree to the terms above.*

Media Release

I hereby give permission to appear in videos, audio recordings, films, photographs, and on websites and social media sites.

I have read and agree to the terms above.*

BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.

Parent Signature

Running Total

$150.00

Coupon Code

Total

$150.00

Billing Information

Name

Credit Card

Visa
Mastercard
American Express
Discover

Address

Mobile Phone Number

Yes, it's okay to send me text messages including confirmations, changes, updates, and/or promotions. Message frequency varies. Message and data rates may apply. View our terms of service & privacy policy.

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