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
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
Make your check payable to: SOUTHEASTERN LOUISIANA WRITING PROJECT
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
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)
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!
Parent/guardian contact information:
Day/work (____) ______________ Home/night (____) ______________
Cell (____) ______________
Emergency contact person :( other than parent or guardian)
Name _____________________________ Day/work (____) _________________
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.)
The Southeastern Public Information 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.