| 1.
Participant Information |
| First
Name |
____________________ Last
Name _________________________ |
| Address |
________________________________________________________ |
| City |
_________________________ State
_____
Zip _______________ |
| Daytime
Phone |
_________________________________
(nnn)nnn-nnnn |
| Evening
Phone |
_________________________________
(nnn)nnn-nnnn |
| Email
Address |
________________________________________________________ |
|
|
| 2.
Select One Instructor |
| |
___ |
Finishing Your Novel with Darnell Arnoult - ID# 12372 |
| |
___ |
Creative Nonfiction and Personal Essay with Alton Ballance - ID# 12373 |
| |
___ |
Structure and Scene with Abigail DeWitt - ID# 12374 |
| |
___ |
Writing Memoir: Plagiarizing from Real Life with Judy Goldman - ID# 12375 |
| |
___ |
Women's Writing Intensive with Zelda Lockhart - ID# 12376 |
|
|
| 3.
Select a Living Option |
| |
___ |
Full Participant (single room, all meals, and full workshop - very limited availability) - $695 |
| |
___ |
Full Participant (double room, all meals, and full workshop) - $595 |
| |
___ |
Guest of Participant (all meals, no workshop, double room) - $295 |
|
| If
double, roommate preference:
_________________________________________
|
(roommate assigned if no preference given) |
|
| 4.
Other Details |
| |
• I would prefer vegetarian meals: ___ Yes ___ No |
| |
• My second choice workshop instructor is: ________________________________________ |
| |
• I have these other special needs: ______________________________________________ |
| |
• Don't forget to send your optional writing sample, if requested, directly to your
instructor by the date specified in the course descriptions. |
|
| 5.
Payment of Fees |
| |
Please
pay minimum $200 deposit for Writers' Workshop. $200 deposit is nonrefundable.The remaining balance is due by September 1, 2009. All tuition is nonrefundable after Sept. 1. |
| |
Total
Amount Paid Now: $ ____________
|
| |
Check Number: ____________ (payable to Duke University) |
|
|
| 6.
Mail check and form to: |
| |
Registration - Writers' Workshop, Duke Continuing Studies,
Box 90700, Durham NC 27708-0700 |