View Cart
login
About Us
What We Do
Staff
Board
Reports
Our History
Our Supporters
Workshops
Adult Workshops
Weekly Drop-ins
Legacy Writing
Youth
Events
Events CalendarÂ
Readings
Theater
Rochester Reads
Poetry Festival
Youth
SummerWrite
Extra-Curricular Programs
School Programs
Writers in Schools
Arts in Education
Gell Retreat
Rentals
Connect
Memberships
Blogs & News
Work With Us
Contact Us
MyW&B
Bookstore
About Us
What We Do
Staff
Board
Reports
Our History
Our Supporters
Workshops
Adult Workshops
Weekly Drop-ins
Legacy Writing
Youth
Events
Events CalendarÂ
Readings
Theater
Rochester Reads
Poetry Festival
Youth
SummerWrite
Extra-Curricular Programs
School Programs
Writers in Schools
Arts in Education
Gell Retreat
Rentals
Connect
Memberships
Blogs & News
Work With Us
Contact Us
MyW&B
Bookstore
Donate
Michael Solis
Michael Solis
$
5.00
Price:
$
5.00
-
Michael Solis quantity
+
Add to cart
Close
"
*
" indicates required fields
Parent / Guardian
Parent / Guardian #1, Name and Relationship:
*
Parent / Guardian #1, Phone(s):
*
Parent / Guardian #1, Email:
*
Parent / Guardian #2, Name and Relationship:
*
Parent / Guardian #2, Phone(s):
*
Parent / Guardian #2, Email:
*
Contact
Emergency Contact Phone(s):
*
Emergency Contact, Name and Relationship:
*
Authorized Pick Up, Name and Relationship:
*
Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Child 1 Information
Child Name
*
Child's Age
*
Child's Birth Date
*
Month
Day
Year
Gender
*
female
male
cisgender female
cisgender male
transgender female
transgender male
gender variant/non-conforming
other
prefer not to say
Child's Preferred Pronoun
*
he
she
they
Does your child have any allergies?
*
Yes
No
List Allergies below, indicate severity, and/or if an epi-pen is required.
*
Does your child take any medication (including any allergy medication your child carries and any medication taken at home)?
*
Yes
No
List Medications, condition and/or purpose.
*
Other medical issues we should be aware of (including but not limited to ADD, ADHD, Aspergers, etc.):
*
Any additional information that will help us best serve your child(ren):
*
Add another child?
Yes
Child 2 Information
Child Name
*
Child's Age
*
Child's Birth Date
*
Month
Day
Year
Gender
*
female
male
cisgender female
cisgender male
transgender female
transgender male
gender variant/non-conforming
other
prefer not to say
Child's Preferred Pronoun 2
*
he
she
they
Does your child have any allergies?
*
Yes
No
List Allergies below, indicate severity, and/or if an epi-pen is required.
*
Does your child take any medication (including any allergy medication your child carries and any medication taken at home)?
*
Yes
No
List Medications, condition and/or purpose.
*
Other medical issues we should be aware of (including but not limited to ADD, ADHD, Aspergers, etc.):
*
Any additional information that will help us best serve your child(ren):
*
Add third child?
Yes
Child 3 Information
Child Name
*
Child's Age
*
Child's Birth Date
*
Month
Day
Year
Gender
*
female
male
cisgender female
cisgender male
transgender female
transgender male
gender variant/non-conforming
other
prefer not to say
Child's Preferred Pronoun 2
*
he
she
they
Does your child have any allergies?
*
Yes
No
List Allergies below, indicate severity, and/or if an epi-pen is required.
*
Does your child take any medication (including any allergy medication your child carries and any medication taken at home)?
*
Yes
No
List Medications, condition and/or purpose.
*
Other medical issues we should be aware of (including but not limited to ADD, ADHD, Aspergers, etc.):
*
Any additional information that will help us best serve your child(ren):
*
Emergency/Medical
*
I understand and agree to the terms and conditions detailed in the Emergency/Medical consent statement readable here: https://wab.org/emergency-medical-consent/
Child Participation
*
I give permission for my child to participate in all workshop or day camp activities on and off Writers and Books property.
Photography Consent
*
I give permission to Writers and Books to use any photographs or videos in which my child appears or any writings or art my child generates in workshops in promotional print materials such as the SummerWrite catalogue or on the SummerWrite blog or Writers and Books website. Students will never be identified by full name in any of these formats. Student images and work will not be used for any other purpose than that which is stated here.
About Us
What We Do
Staff
Board
Reports
Our History
Our Supporters
Workshops
Adult Workshops
Weekly Drop-ins
Legacy Writing
Youth
Events
Events CalendarÂ
Readings
Theater
Rochester Reads
Poetry Festival
Youth
SummerWrite
Extra-Curricular Programs
School Programs
Writers in Schools
Arts in Education
Gell Retreat
Rentals
Connect
Memberships
Blogs & News
Work With Us
Contact Us
MyW&B
Bookstore
About Us
What We Do
Staff
Board
Reports
Our History
Our Supporters
Workshops
Adult Workshops
Weekly Drop-ins
Legacy Writing
Youth
Events
Events CalendarÂ
Readings
Theater
Rochester Reads
Poetry Festival
Youth
SummerWrite
Extra-Curricular Programs
School Programs
Writers in Schools
Arts in Education
Gell Retreat
Rentals
Connect
Memberships
Blogs & News
Work With Us
Contact Us
MyW&B
Bookstore
login
View Cart
Bookstore
585.473.2590
[email protected]
740 University Avenue Rochester, NY 14607-1259
