2011 Project Write Registration Form

Page 1

SUMMER WRITING ENRICHMENT CAMP 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

for Middle and High School Students

July 18-29, 2011

Student Full Name Gender:

Male

Female

Date of Birth

/

/

XL

XXL

Home Address

Home Phone Grade/School in June Grade/School in Sept T-shirt Size (Adult Sizes/Circle One)

S

M

L

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


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