Wick Juniors Writing Club – Registration Packet

May 18, 2015

Dear Parent(s)/Guardian(s),

I am really looking forward to your child/children participating in the Wick Juniors Writing Club this summer. This club was created bya few young writers who said, “we want a club and a place to get together and write during the summer!” Over the past few years it has grown, and we are excited to offer another year of creative writing experiences for talented young writers in northeast Ohio. This year it is even more exciting with our new home and poetry park.

In this packet you will find forms for you to keep for your records, and forms for you to fill out and return. You can e-mail your completed forms to - or mail them to: Nicole Robinson - Outreach Manager - Wick Poetry Center - Kent State University - PO BOX 5190 - Kent, OH 44242.Please do not mail cash, check or credit card information. If you plan on paying with cash / check, please do so on the first day of the Wick Juniors Writing Club. All registration forms and payment must be turned in no later than the first day, June 18th, at 11:00 a.m.On this date students will also receive “word nerd” tote bags (which will include a poetry gift, writer’s notebook, and pencil).

This year our weekly drop off and pick up will be so much easier! We are now located in the May Prentice House at 126 S. Lincoln Street, Kent Ohio. You can park across the street in the R1 lot connected to the Fashion building and not be ticketed. Please note that your son / daughter will have to cross Lincoln Street if dropping them off / turning around in the R1 lot. We will have at least one staff member outside beginning at 10:45 a.m. to help Wick Juniors cross the street safely.

Please have your son / daughter bring a packed lunch each week.

We are also excited to end the Wick Juniors Writing Club with a reading again. This reading will be open to students, faculty and the community. The reading will be held on Tuesday, August 4th at 6:30 p.m. in the Wick Poetry Center’s Poetry Park.

Please do not hesitate to contact me with any questions.

Looking forward to a creative summer,

Nicole Robinson

Outreach Manager

Wick Juniors Writing Club Schedule 2015

Please note the *pick up time on dates of writing fieldtrips. If you prefer to drive your child to the fieldtrips, please note that on the transportation form. Time of arrival and departure can be provided for you.

June 16th: 11:00 drop off and registration atWick Poetry Center – 126 S. Lincoln Street. Parking is permitted in the R1 lot across the street. Writing sessions will be held in the Wick Poetry Center’s house, outside in thepoetry park, and across the street in the Fashion Building (if raining).

2:00pick up at Wick Poetry Center

*June 23rd: *10:00 drop off at Wick Poetry Center

Carpool will leave from Wick to the Akron Zoo at 10:15 promptly

*3:00 pick up at Wick Poetry Center

June30th: 11:00drop off at Wick Poetry Center

Writing sessions will begin at Wick Poetry Center’s house, outside in the poetry park,

and across the street in the Fashion Building (if raining).

2:00pick up at Wick Poetry Center

July 7th: 11:00drop off at Wick Poetry Center

Writing sessions will begin at Wick Poetry Center, and then visit locations on campus:

Art museums, Department of Geology, Special Collections, May 4 visitor Center, etc.

2:00pick up at Wick Poetry Center

July 14th: 11:00drop off at Wick Poetry Center

Writing sessions will begin at Wick Poetry Center and then travel down the esplanade to visit local businesses and the Cuyahoga river downtown Kent. We will be writing poems to display at local businesses.

2:00 pick up at Wick Poetry Center

*July 21st:*10:00 drop off at Wick Poetry Center

Carpool will leave from Wick to Cleveland Museum of Art at 10:15 promptly

*3:00 pick up at bus terminal in front of Kent State Student Center

July 28th:11:00drop off at Wick Poetry Center

Writing sessions will be held at Wick Poetry Center

2:00 pick up at bus terminal in front of Kent State Student Center

August 4th:6:30Wick Juniors Poetry Reading at Wick Poetry Center

Registration Fee and Payment:

Fees: $75.00 – one child

$125.00 – two children

$150.00 – three children

total______

*I would like to sponsor ______child/children

*I am in need of sponsorships for ______child/children

total______

Name of child / children:

grand total ______

Payment Method:

Check ___ (make payable to Wick Poetry Center)

Cash ____ (please bring with you on the first day of the Wick Juniors Writing Club, June 16th)

Credit card ____(credit cards will be accepted June 16th onsite at Wick Poetry Center)

Please do not mail cash or credit card information. Please pay online or bring payment on first day.

Transportation Agreement

I hereby give my son/daughter,______, permission to do one of the following for off-campus writing field trips:

  • RIDE WITH WICK POETRY CENTER STAFF/VOLUNTEER.

I/We as parent(s), legal guardian(s), of ______,

who is presently enrolled in the Wick Juniors Writing Club, for andin consideration of this

request, do hereby agree to hold Wick Poetry Center and Kent State University , its employees,

agents or servants, harmless from any liability which may result from any injury or damage to

thebefore mentioned student, either to his person or property, resulting from the granting of this

request.

______

Parent(s)/Legal Guardian(s) Signature

______

Date Phone

Alternative Transportation:

*I will be providing transportation for my son/daughter, ______,

to all field trip destinations.

______

Parent(s)/Legal Guardian(s) Signature

______

Date Phone

Emergency Contact Information

Name of child: ______

Date of Birth: ______Entering grade: ______

Allergies / Other important information Wick staff should be made aware of:

______

______

______

______

______

______

Parent(s)/Guardian(s) name: ______

Phone number(s): ______

______

Alternate emergency contact: ______

Phone number: ______

Video and Photo Release Form

I, the undersigned, hereby assign all rights to the audiovisual recordings and photographs made of me for this program to Kent State University’s Wick Poetry Center.

I authorize the recording, reproduction, copyright exhibition, community presentation, broadcast, cablecast, multimedia, and/or distribution of said audiovisual and photographs for the purpose of presentation in perpetuity.

I further release Kent State University, Wick Poetry Center and related and/or contracted agencies from any liability of any nature whatsoever as a result of my appearance in the audio visual recordings and photographs.

Name of child (if under the age of 18): ______

Parent / Guardian Name:______

Parent / Guardian Signature: ______

Date: ______

Address: ______

E-mail Address: ______

Phone: ______5 12:00okies, punch, and coffee) ck Poetry Corner
y Wick ry Center, Kent State University, PO Box 5190, Kent, OH 4424211111111