Register for the Retreat

Please complete the form below. you will receive a confirmation email with instructions to submit your payment of $40 via Paypal. Your place at the event will not be reserved until payment is received.

Name

First Name

Last Name

Verify Email

Phone

(###)

###

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Do you have any dietary restrictions we should be aware of?

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.

How did you hear about the Writing Retreat?

Would you be interested in trading a small selection of your work with a critique group at the retreat?

This is completely optional.

What age category and genre do you write?

What is your Twitter handle?

Optional. Please provide if you would like to share it with other attendees.

What is your Instagram handle?

Optional. Please provide if you would like to share it with other attendees.