Youngblood Arts

Workshops and Private Consultation Registration Form

First Name

Last Name

Phone

Email Address

Your Program -- select program -- Second Sundays Workshop Workout Wednesdays Private Consultation Memoir Self-Care Tool Box

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What are your personal goals for your writing?

Who do you write for?

What are your writing challenges?

What genre(s) are you currently working in? What genre(s) do you want to explore?

Introduce yourself to me by writing about your name or tell me something about a house from your childhood. (1-3 paragraphs)

Tools needed for workshops:

Blank journal with unlined pages, 3 x 5 index cards, pens, pencils, crayons,
a sense of adventure and your fearless self