Your Name:

Street Address:

City:

State and ZIP code:

Country:

Phone Number:

Email Address:

I wish to apply for the SF Writers Workshop.

• Yes

I wish to apply for the SF/F Novel Writers Workshop. NOTE: If you wish to apply for the "Repeat Offenders" Workshop, contact Kij Johnson.

• Yes

I plan to enroll in the Intensive SF Institute.

• Yes

I plan to attend the Campbell Conference.
Note: If you wish to attend the Awards Ceremony and Banquet, please let us know in email and include a check for the meal.

• Yes

I plan to enroll in the Writer's Retreat (type dates below).

• Yes

Total nights I plan to stay in the dorm:

• July 5 - 16 (short and novel Workshops)
• July 16 - July 18 (Conference)
• July 19 - July 30 (Institute)
• July 24 - July 28 ("Repeat Offenders" Novel Workshop)

NOTE: If you wish to arrive early or stay later - most Workshoppers arrive on Sunday night, for example - please contact Lydia Ash (lash@ku.edu) with details.

If reserving a dorm room, do you prefer single or double occupancy?

• Single.
• Double. NOTE: You must first work out your roommate before we can register you for a double room.

If double occupancy, roommate's name:

If double occupancy, roommate's email address: