Kachemak Bay Writers’ Conference June 8-12, 2018 REGISTRATION FORM (Please note: Register one person per form. Form may be duplicated.) Name: ___________________________ Telephone: _________ Email: _______________________ Address: ____________________________________ City, State, Zip: ________________________ How did you hear about our conference? ________________________________________________ Did you attend previous years’ conferences? £ Yes # ________ £ No UA admitted student: £ Yes £ No Name of degree: _______________ UA ID# _____________ I am registering for: (Call if you do not receive a receipt for payment in the mail!) £ BASIC CONFERENCE FEE: Includes entry to all conference sessions including workshops, opening dinner, receptions and luncheons. Limited Enrollment; first come, first served. $395 through 5 p.m., May 1, 2018 ($350 for UA admitted degree-seeking students) $425 May 2 through June 7 $450 June 8 (space available) £ SUPPORTING CONFERENCE FEE: Sponsorship helps support the Kachemak Bay Writers’ Conference and provide stipends, special events and workshops. There are many levels at which to give: £ $495 level (includes $100 donation) £ $595 level (includes $200 donation) £ $695 level (includes $300 donation) £ POST-CONFERENCE June 12-14 - $400 Includes workshop, double-triple occupancy accommodations food, boat taxi. Limited enrollment. £ KACHEMAK BAY BREAKFAST BOAT CRUISE with conference faculty - $60 £ MANUSCRIPT REVIEW - $65 (Due before 5/1, choose one genre, see website for more info.) £ Fiction £ Creative Nonfiction £ Poetry MEETING WITH AGENT / EDITOR – No fee –Sign-up and selection of agent / editor and time at conference check-in. First come, first served. Please sign up as soon as you register. UAA credit: 1 credit: ENG A259 or CWLA A497-Independent Study, is optionally available. Complete special form and pay tuition fee at the conference by June 9. Payment Options: 1. Email form to [email protected] and call (907) 235-7743 with credit card payment information. (Note that this is an email address and not an encrypted site) 2. Mail or drop off this form with check payable to: Kachemak Bay Campus, Kenai Peninsula College 533 E. Pioneer Ave. Homer AK 99603 3. Fax this form to (907) 235-1686 and call (907) 235-7743 with credit card payment information. Payment: ***REGISTRATION IS NOT COMPLETE UNTIL PAYMENT HAS BEEN RECEIVED. £ Check, payable to Kenai Peninsula College, amount enclosed: $ _____________________ £ MasterCard £ Visa Card Cancellation Policy: A $30 registration cancellation fee will be charged for refund requests. There will be no refunds for cancellations after Friday, May 11. Food Restrictions: ____Vegan ____Vegetarian (Fish, ok) ____ Vegetarian (no meat, chicken & fish) ____Gluten-Free ____ Shellfish ____ Lactose intolerant. Please call with severe food allergies. Kachemak Bay Campus – Kenai Peninsula College/UAA 533 E. Pioneer Ave. Homer, Alaska 99603 (907) 235-7743 .