Drink the Wild Air 2023 RegistrationBy Ellen Kartz on December 12, 2022 in UncategorizedDrink the Wild Air 2023 Participant information for Drink the Wild Air 2023Program* March 17-19, 2023 (ages 11 -19)Participant Name* First Last Participant Address* Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Participant PhoneParticipant Email* Participant's Age*Participant's Date of BirthParent Name* First Last Parent Primary Phone*Parent Secondary PhoneParent Email* Add another parent contact Yes NoParent Name First Last Parent Primary PhoneParent Secondary PhoneParent Email Parent Approval Waiver - Please read carefully* I acceptIt is agreed that the student named will, if accepted, abide by the rules and regulations of the Writers' Guild of Alberta and Drink the Wild Air. It is further agreed that the Writers' Guild of Alberta has copyright in and full use of, without further consideration, any photographs and recordings taken during Drink the Wild Air, and any writing and words from the participant’s evaluation form, including any edited versions of same, for the purposes of advertising, publicity and editorial purposes, at any point in the future. In consideration of Drink the Wild Air accepting this application, I forever release and discharge the Writers' Guild of Alberta and all of its contractors, agents, volunteers and employees, including all coordinators, supervisors, instructors, facilitators, board members, and guests, from any and all claims, damages, and causes of action arising out of the student’s participation in Drink the Wild Air.Does the participant have any physical or mental health conditions that might affect their participation in Drink the Wild Air? Please specify if he/she has any special needs the instructors and supervisors should be aware of.*How did you hear about Drink the Wild Air? Past participation in WordsWorth / Drink the Wild Air / Circuit Tree From a friend who attended WordsWorth / Drink the Wild Air / Circuit Tree From the Writers' Guild of Alberta (email, website, etc.) Other (please explain briefly)Please tell us briefly how you heard about Drink the Wild Air
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