REGISTRATION FORM:
CREATIVE NONFICTION WRITERS GROUP
AT CAROL’S HOUSE (Note: Workshop Closed - fully enrolled)
www.carolhenderson.com

10 THURSDAYS:  Sept 18 – Dec 4, 2008  (no meeting October 23, November 27)
7:00 – 9:30 PM
Fee: $250

Questions? Email Carol at: cd.henderson@gmail.com

NAME_____________________________

ADDRESS_____________________________________

______________________________________________

HOME PHONE________________________

CELL PHONE_______________________

EMAIL____________________________________________

EMERGENCY CONTACT PERSON_____________________

CONTACT’S PHONE NUMBER:__________________________

ALLERGIES OR HEALTH ISSUES I SHOULD KNOW ABOUT:

_______________________________________________________________

Your payment in full reserves your place. Make checks payable and send to:

CAROL HENDERSON
804 WOODLAND AVE
CHAPEL HILL, NC 27516

919-942-2127