REGISTRATION FORM

first name last name
address
city province
postal code phone
email
birthdate

Please indicate the 3 workshops you will be attending

Cheque Paypal
Session 1 (9:15am-10:30am)
Visual Poetry Innovative Fiction
Session 2 (10:45am-12:00pm)
Radical Poetry Innovative Screenwriting
Session 3 (1:15pm-2:30pm)
Creative Chapbooks Graphic Fiction
Note: You automatically get to attend the lunch, panel discussion and readings as part of your registration package

Attending the after-party?
Yes No