Class Registration | Philadelphia Writers Workshop

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Please complete the registration form for both Venmo, Credit Card, or Check. To receive the Zoom link, payment must be received before the date you attend.

How to use this form

Please take your time. First, the form will ask you to choose the total number of Sundays or Thursdays you wish to attend. Then it will ask you to choose the exact dates you want to attend.

Each date reads as “Thursday, June 17.” However, if you click on the drop-down menu, you will see all the Sundays and Thursdays available.

If your first meeting will be on Thursday, June 17, then choose that date. If your first time attending will be on a later date, choose Meeting #1, and use the drop-down menu to choose the date that corresponds with the first time you will attend. To add more dates, choose Meeting #2, and the date you wish to attend, and so on.

Contact Information
Name*
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Phone*
Consent*
I have read and agree to the No Refund Policy, the Privacy Policy, and the Enrollment Policy. .
Refund Policy
No refunds.
The only exception is if the Director, Rachel Kobin, cancels a meeting. If that arises, she will make every effort to schedule a makeup date. Refunds for makeup dates will be available to those who are not able to attend makeup dates scheduled by Rachel Kobin.

Privacy Policy:
I use your contact information in the following ways only:
1) To contact you regarding scheduling, payment, and to send handouts and literary information relevant to the workshop in which you have enrolled.
2)To invite you to future workshops.

Enrollment Policy:
As a sole proprietor, Rachel Kobin reserves the right to refuse admission to the workshop or dismiss a participant at any point during a workshop. This decision would not be made on the basis of age,* race, gender, or class, but rather if she determines that a potential or current participant would prevent the rest of the participants from receiving the full benefits of the workshop. *The workshop is not appropriate for anyone under the age of 18.
Choose How Many Nights You'll Attend
Choose how many nights, then specify the dates below.*
If you plan on attending only one meeting, choose "Meeting #1," and then use the dropdown menu to choose your first date, whenever that may be. Then, for your second date, choose "Meeting #2" and use the dropdown menu to find the next date you wish to attend. "Meeting #3" is your next date, so use the dropdown menu again to find the next date you wish to attend, and so forth.
Meeting #1
Meeting #2
Meeting #3
Meeting #4
Meeting #5
Meeting #6
Would you like to receive the newsletter?
Newsletter*
- Yes, I want to know about upcoming workshops and alumni news.
- No thank you.
Payment
PAYMENT OPTIONS -- To reserve your place, payment must be received before the dates you attend.*
- Stripe/Credit Card
- Personal Check
- Venmo App @RachelKobin
Credit Card
Card Details
Cardholder Name
Please make checks payable to Rachel Kobin, and mail to: Rachel Kobin, 7721 Parkview Road, Upper Darby, PA 19082
Total
$0.00
Email
This field is for validation purposes and should be left unchanged.

You’re almost there!

How to use this form

Contact Information

Choose How Many Nights You'll Attend

Would you like to receive the newsletter?

Payment