Download - 2011 Project Write Registration Form

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Page 1: 2011 Project Write Registration Form

The Philadelphia Writing Project welcomes students who

desire to expand and improve creative and academic writing

in its many forms.

Applicants should be in grades 6-12 for the

2011-2012 school year.

Cost: $250 (Includes non-refundable $20 application fee.)

Make check payable to “Trustees of the University of Penn”

Times: Monday-Friday, 9:00-12:30

Mail Application to:

PhilWP ProjectWrite Philadelphia Writing Project

4201 Spruce Street, Building 1921 Philadelphia, PA 19104

SUMMER WRITING ENRICHMENT CAMP f o r M i d d l e a n d H i g h S c h o o l S t u d e n t s

July 18-29, 2011

Student Full Name

Gender: Male Female Date of Birth / /

Home Address

Home Phone

Grade/School in June

Grade/School in Sept

T-shirt Size (Adult Sizes/Circle One) S M L XL XXL

Parent/Guardian Name(s)

Emergency Contact and Number

Select one camp location:

Center City—Community College of Philadelphia, 17th and Spring Garden

West Philly (middle school)—PhilWP Office, 4201 Spruce St, Bldg 1921

Northeast—Arts Academy at Benjamin Rush, 11081 Knights Rd