Home | About Us | Services | Schedule | Registration | Videos | Blog | Links | Testimonials | Contacts

Please complete the registration form completely. If you have any questions or wish to register by phone, call 937.475.5177.

About the class:
Name of class:
Registration fee:
Contact information:

If registering for multiple classes, you only need to enter all the information once. Please enter your name on all registrations.

First name:
 * required
Last name:
 * required
Email address:
 * required
Mailing address:
Daytime phone number:
 * required
Evening phone number:
Best way to contact you:
Best time to contact you:
Additional information:
How did you learn about us?
Would you like email notification of future events in your area?

Word's Worth Writing Connections * Phone: 937-475-5177 * Email: *