Young Writer's Camp Application camp fee due upon acceptance Week of preferred attendance: ___June 16-20 ($95) ___July 7-11 ($95) ___ June 16-20 AND July 7-11 ($180) Student's Name _____________________________     Date ___________ Age _______________   Grade (2007-2008)____________   Gender________ Home Address ________________________________________________                         ________________________________________________                         ________________________________________________ Phone Number _________________________ School Name (2007-2008) _______________________________________ School Address ______________________________________________ Writing Teacher _____________________________________________ Parent/ Guardian's Name _______________________________________ Parent/ Guardian's E-mail Address ________________________________ Why do you want to attend this writing camp? ______________________________ __________________________________________________________