Young Writers Camp 2011

03/20/11by: Natasha Whitton


Information and registration form for Young Writers Camp 2011


Young Writers Camp

June 20-24, 2011

9:30 a.m.-3 p.m.

3rd Floor, DVickers Hall, Southeastern Louisiana University

Ages 8-14

Cost: $195

Write to your heart's content under the guidance of the faculty of the Southeastern Louisiana Writing Project. Daily activities include writing; connecting the writing process with art, cartooning, reading, and many other creative activities such as a special “Writing Marathon.” Young Writers, under the guidance of experienced writers and teacher-consultants, discover the importance of writing about things and events around them as well as for a variety of purposes and audiences. Young Writers polish their work through peer editing and revision, and their work is published in an anthology. The final day young writers present their best work to parents and friends at a "Public Reading and Reception." Certificates, anthologies, and tee-shirts are provided.

Mail registration form (see below)and check to:

Southeastern Louisiana Writing Project
c/o Dr. Richard Louth
SLU 10327
Hammond,LA 70402

Make your check payable to: SOUTHEASTERN LOUISIANA WRITING PROJECT

Questions? Contact:
Coordinator Dr. Beth Calloway, scalloway@southeastern.edu
Dr. Richard Louth, rlouth@southeastern.edu, (985) 549-2102/2100

Southeastern Louisiana University Writing Project

YOUNG WRITERS CAMP

June 20-24, 2011

The deadline to registeris one week prior to the camp starting date. After the deadline, we may not be able to add additional campers, although you are welcome to ask. If a space is available form will be taken at the door on the first day of camp.

Please print, complete, and mail form and check (payable to Southeastern Louisiana Writing Project) to:Southeastern Louisiana Writing Project

C/O Dr. Richard Louth, SLU 10327, Hammond, LA 70402

Camp fee: $195.00.

A separate form must be completed for each child. Please print

Child

Male ______ Female______

First name _______________________MI ___ Last______________________

Street _______________________________ City _______________________ State_____ Zip________

School ____________________________________ Age: _ _____

Date of Birth ___/___/______ TEE-SHIRT SIZE: (8-10); (10-12); (12-14); (XXL)

Parent/guardian

First name _____________________ MI _____ Last ________________________

Street ______________________________ City ___________________________ State_____ Zip____________ EMAIL ADDRESS for Contact Person ____________

Most camp information and notifications will be done by email when possible!

Emergency Information

Parent/guardian contact information:

Day/work (____) ______________ Home/night (____) ______________

Cell (____) ______________

Emergency contact person :( other than parent or guardian)

Name _____________________________ Day/work (____) _________________

Medical Information

I, on behalf of myself, my heirs, legatees, personal representatives, and all those claiming by or through me consent to, and so hereby discharge and release and forever hold harmless Southeastern Louisiana University and their affiliates, sponsors, agents, servants, employees, assigns, successors, and heirs and any facility at which events are held, from any and all claims, actions, losses,

damages, or expenses for personal or bodily injury (including death) and property loss or damage of whatever nature or cause, incurred by me (or my child) arising out of or in any conjunction with my (or my child's) participation in the aforementioned competition. I hereby consent I am of legalage and capacity and have read and understand the contents of the Consent and Release.

Signature of parent/guardian: ____________________________________________________ (Date) _________

Emergency Hospital Permission

I hereby give my permission to any adult working with a Southeastern camp to drive my child to the emergency room of the hospital checked below in the event of a medical emergency.

Main campus:_____ North Oaks Medical Center_____ Other (please write in) ____________________________________________________

Physician’s Name ________________________________

Phone Number (____) ____________________

List all allergies or special medical information of which camp personnel should be aware.

___________________________________________

___________________________________________

Other than yourself, whom do you designate to pick up your child from camp? ( Please inform them that a picture ID may be required.)

Name _______________________________________________________

Photo/video release

The Southeastern University Communications and Creative Services Office and/or the Southeastern Channel may take photographs of or video some camp activities. These photographs/videos could be used in publicity materials sent to area media, in university publications, videos, and advertisements, or on the university web site. Do you give permission for your child to be photographed/videotaped by Southeastern?Yes _____ No _____

NOTE: CAMPERS WILL NEED TO BRING A JOURNAL, WRITING TOOL, AND SACK LUNCH WITH DRINK. SNACKS WILL BE PROVIDED.