Page 1

You & How I Reach You

Participant Information

Writer’s name (the one you want me to use!) Writer’s age Pronouns

Contact Information

Who should I contact about Creative Chaos? Me My parent, guardian, or caregiver Someone else

Contact person’s name Relationship to the writer If you selected yourself above, just put “me.”

Email address Phone number

How would you prefer I contact you? Email Text Phone call No preference

Is there another person who should also receive important Creative Chaos information? No Yes

Is there anything I should know about contacting you? For example: times you can't answer, text instead of calling, contact a parent first, accessibility needs related to communication, or anything else that would help.

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Accessibility & Support

Creative Chaos is for all kinds of people, and different people need different things to do their best work. I don't need a diagnosis, documentation, or an explanation of why you need something. I just want to know what I can do to help you participate comfortably and get as much as possible out of our adventure.

You also don't have to know exactly what you need! If there's something that has helped you in other classes, groups, or online spaces—or something you know makes things harder for you—tell me. We'll figure things out together.

What, if anything, can I do to make Creative Chaos more accessible or comfortable for you? Is there anything that tends to make learning, writing, participating in groups, or using Zoom harder for you? You don't have to explain why. Knowing what gets in your way can help me avoid it when possible or help us find another way to do things. What helps? Maybe you like written instructions as well as verbal ones. Maybe you need extra processing time, breaks, captions, repetition, fewer things on the screen at once, or permission to answer in the chat instead of speaking. Whatever works for you is useful for me to know.

Will someone be helping you participate in Creative Chaos? No Yes Sometimes / I'm not sure yet

And if you think of something later, tell me then. Registration isn't your only chance to ask for what you need.

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Payment

Creative Chaos is a six-week writing adventure for which the total cost is $300 ($50 per week).

How would you like to pay for your adventure? Pay in Full — $275 If you pay for the entire adventure at registration, you'll receive a $25 discount off the total cost. I respect the investment in me and would like to show that respect this way. Set up an Individual Payment Plan — $300 $300 is a big outlay for most people (including me!), and trying to do it all at once is difficult, if not impossible. I see and respect that as well as choosing to invest in me. I want to make things as easy as possible for you to take this adventure. I will work with you directly to create an individual payment plan that best suits you, up to 3 months/12 weeks long. There is no interest and no extra charges.

Choosing a payment option here does not charge you anything. If you choose Pay in Full, you'll be sent to the secure $275 Square payment page after registration is submitted. If you choose a payment plan, I'll contact you directly to set it up.

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Agreements & Permission

Almost there!

I know, this is a lot of pages, but clarity and comprehension are the name of the game. And this is where we're going to make sure that everyone understands what to expect from CC, from me, and from each other. From the top for everyone's sake!

I understand and agree that:

I have read the Creative Chaos Information & Policies. I understand how Creative Chaos works. I understand the six-week schedule, the Monday sessions, Wednesday Open Workshops, and Friday individual sessions. I understand the Creative Community Expectations. I agree to respect the other adventurers, their work, their privacy, and their right to decide when and whether they want feedback. I understand the Online Participation policies. This includes the expectations around Zoom links, recordings, screenshots, cameras and microphones, and access to Creative Chaos materials. I understand the cancellation, withdrawal, and refund policies. I understand the payment option I selected and what happens next.

Is the information you've given me in this registration accurate to the best of your knowledge? Yep!

That's it!

If you've made it this far, thank you for taking the time to give me the information I need to make Creative Chaos work well for you. Give everything one last look, and when you're ready, send it my way.

I'm excited to see what you create.

Registration

You & How I Reach You

Participant Information

Contact Information

Tell Me About Your Writing

Accessibility & Support

The Nuts & Bolts

Payment

Agreements & Permission

Almost there!

I understand and agree that:

Permission for a Minor Adventurer

Your Signature

That's it!

Registration received!

Registration received!

Contact