2026 WordsWorth Registration

Participant information and medical form for WordsWorth 2026

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This field is for validation purposes and should be left unchanged.

Program*

Participant Name*

First Last

Participant Address*

Street Address Address Line 2 City Province Postal Code

Participant Phone

Participant Email

Participant's Age*

Participant's Gender

Participant's Preferred Pronouns (optional)

Participant's Date of Birth

Parent/Guardian Name*

First Last

Parent/Guardian Primary Phone*

Parent/Guardian Secondary Phone

Parent/Guardian Email*

Add another parent/guardian contact

Yes

Parent/Guardian Name

First Last

Parent/Guardian Primary Phone

Parent/Guardian Secondary Phone

Parent/Guardian Email

Parent/Guardian Approval Waiver - Please read carefully*

I accept

Participants will not be allowed to take part in WordsWorth unless a parent or guardian completes this and the medical form.

Participants may not leave the camp grounds without advising the WordsWorth Director. In the event a participant does leave the grounds without permission, the Writers' Guild of Alberta and Red Deer Polytechnic will be absolved of all responsibility from any claims as a result of off-campus activities.

Every care and attention will be given to the well-being of students at WordsWorth. All participants will be under the supervision of instructors and the facilitator. Any deviation from suitable behaviour will be dealt with by the WordsWorth Director; violators may be sent home with no refund of program fees.

It is agreed that the student named will, if accepted, abide by the rules and regulations of the Writers' Guild of Alberta and WordsWorth.

It is further agreed that the Writers' Guild of Alberta has the copyright and use, without consideration, of any photographs or video recordings taken of the participant at WordsWorth, or any writing and words from the participant’s evaluation form, for advertising, publicity and editorial purposes, at any point in the future.

In case of an apparent medical emergency, I hereby give my permission to release medical information to the authorized physician in the hospital emergency room and permit them to perform the necessary treatment to alleviate the emergency situation.

In consideration of WordsWorth accepting this application, I forever release the Writers' Guild of Alberta, coordinator, supervisors, instructors, guests, Red Deer Polytechnic, the Alberta Foundation for the Arts, the Government of Alberta, the Minister of Culture and Community Service, and their respective Servants, Agents, or Employees from any or all claims, damages, or cause of action arising out of participation in WordsWorth.

Emergency Contact Name (if parent/guardian cannot be reached)*

First Last

Emergency Contact Primary Phone*

Emergency Contact Secondary Phone

Emergency Contact Relationship to Participant*

Add a second emergency contact

Yes

Second Emergency Contact Name

First Last

Second Emergency Contact Primary Phone

Second Emergency Contact Secondary Phone

Second Emergency Contact Relationship to Participant

Participant's Alberta Health Care Number (If not from Alberta, please indicate health care number and province.)*

Extra medical coverage (e.g. Blue Cross; include company and number)

Please list the NAMES, DOSAGES, CONDITION TREATED, and WHEN DOSAGE TAKEN of any Prescription Medications that your child will need to take during WordsWorth. If this question does not apply to your child, please indicate "N/A".*

In the event that your child requires treatment for minor ailments (headache, minor cuts and scrapes, etc), we have non-prescription medication on hand. Please check off which medications you permit your child to take/use.*

Asprin (acetylsalicyclic acid)

Tylenol (acetaminophen)

Ibuprofen

Midol

ACTIFED Cold and Allergy

Benylin Cough and Cold Syrup

After Bite Sting and Itch

Alcohol swabs

Off Deep Woods bug spray

Off Skintastic bug spray

Polysporin

Hydrogen Peroxide

Sunscreen (SPF 30)

Gravol anti-nausea medication

Tums antacid tablets

None of the above medications are permitted

Does the participant have any medical conditions (asthma, migraines, diabetes, etc.)?*

Does the participant have allergies? If yes, list and describe reaction.*

Please specify if there are any special needs the instructors and supervisors should be aware of*

Does the participant require a special diet? If yes, please list details.*

Are the participant's immunizations up to date?*

Yes

When was the participant's last tetanus shot? (if unknown, indicate "unknown")*

Have you attended WordsWorth in the past?*

Yes

Specifically, how did you hear about WordsWorth?

From a friend who attended WordsWorth before

At school or from a teacher

At the library

From the Writers' Guild of Alberta (email, website, etc.)

Other (please explain briefly)

This field is hidden when viewing the form

If you heard about WordsWorth from a previous participant, please enter their name. WordsWorth participants who refer their friends get a free t-shirt.

Please tell us briefly how you heard about WordsWorth:

In about 300 words, please tell us why you want to attend WordsWorth.*

Please upload a short sample of your creative writing (poetry, prose, playwriting, etc.) . Maximum 1000 words.*

Max. file size: 50 MB.

Do you wish to apply for a bursary?

Yes

Please explain why you are requesting financial assistance:

What bursary amount are you requesting?*

Please enter a number from 0 to 500.

Bursaries are available for up to a $500 maximum. If you require a larger bursary, please email us at [email protected] and we will do our best to see if that can be accommodated.

Would you be interested in arranging a ride-share with another participaent?*

Yes, I would be willing to offer another participant a ride to/from WordsWorth

Yes, I would like to get a ride with someone to/from WordsWorth, if possible

No, I am not interested in participating in a ride-share.

By agreeing to ride-sharing, you give the WGA permission to share your contact email (below) with other parents/participants. The WGA cannot guarantee a ride-share will be available as this is subject to how many people opt in and where they would be traveling from, but we will do our best to facilitate contact between those interested in a ride-share/

Ride-share contact email*

This is the contact email address that will be shared with other potential ride-share parents/participants.

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2026 WordsWorth Registration

2026 WordsWorth Registration

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