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

10 TUESDAYS:  7 – 9:30 PM

Sept 16 – Dec 2, 2008  (no meeting, October 21, November 25)

Fee: $250

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

NAME_____________________________

ADDRESS_____________________________________

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HOME PHONE________________________

CELL PHONE_______________________

EMAIL____________________________________________

EMERGENCY CONTACT PERSON_____________________

CONTACT’S PHONE NUMBER:__________________________

ALLERGIES OR HEALTH ISSUES I SHOULD KNOW ABOUT:

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Make checks payable and send to:

CAROL HENDERSON
804 WOODLAND AVE
CHAPEL HILL, NC 27516

919-942-2127