2025 Day Retreat Attendee Form

Please complete the form below.

Name

First Name

Last Name

Email

Age Range I Write For

Adult

New Adult

Young Adult

Middle Grade

Chapter Book/Easy Reading

Picture Book

Genre(s) I Write

How I Heard About This Event

Dietary Restrictions

We will do our best to provide a variety of options to allow attendees to choose something that meets their needs, however we are a small conference and may not be able to accommodate every possible scenario.

I would like to share my website and social media handles with retreat attendees.

Yes

No

Website

Do you have a personal website you would like to share with retreat attendees so they can find you?

http://

Instagram Handle

Bluesky Handle

X Handle

Other Social/Web Platform