EmailMe Form - Creator School - Writer's Playground

Student Full Name *
First Last
Student Email *
Guardian Full Name *
First Last
Guardian Email *
Address *

Street Address City State / Province / Region Postal / Zip Code
Phone *
### - ### - ####
Name of Student's School *
Grade Entering in the Fall *
Emergency Contact Name and Number *
Allergies or other health issues *
If none exist, please submit 'None' or 'NA'
What area(s) most interest the student? *
Dystopia
Mystery
Memoir
Humor Writing
Scriptwriting
Poetry
Other information about the student as a writer or person?
How did you hear about us? *
If 'Other', please specify
Payment Method *
Check (email Creator Schools for more information)
Paypal (see link on website)