Page 1

APPLICATION REQUIREMENTS DEADLINE: JUNE 15 (River Valley & Peak I) JUNE 22 (Peak II)!! By DEADLINE, YouthWrite applicants must submit an application form, respond to the following questions, provide a sample of writing, provide a letter of recommendation from a teacher or instructor who is familiar with the applicant’s ability/interest in writing and suitability for the camp, in addition to submitting fees (see reverse). This may be done online at:


or via mail: YouthWrite Society Canada 10629 – 127 Street Edmonton, AB T5N 1W2


Please answer on a separate page. 1. What school courses have you completed in English/Language Arts? 2. What extra-curricular creative writing courses/ workshops/activities have you previously participated in? 3. Has your writing been published? If so, where? 4. What are your reasons for wanting to attend YouthWrite?

Sample of Writing

Applicants must submit one poem (max. 75 lines) or sample of prose (max. 2 pages), on a theme or subject of your choice. Writing samples MUST be wordprocessed, 12-point font, double-spaced. DO NOT submit originals; samples will not be returned. Please submit only ONE writing sample.





Should you wish to make a donation to YouthWrite, please accept our thanks in advance.

All donations are designated for YouthWrite, exclusively. YouthWrite Society Canada is a registered non-profit and charitable arts organization. For more information, please visit our website:

a camp for kids who love to write...just about anything!©

...with fabulous not-to-mention world-famous instructors!

No w in our 22rindteyeStaruff! of th e W Alberta’s Premmierp! Wri ting Ca

email: or call: 780-996-4962 And please visit: for information on the Bennett Centre programs.

for Storied Treasure! YouthWrite Peak Experience I & II

Letter of Reference

Kamp Kiwanis

Referees are asked to indicate their knowledge of the applicant’s suitability for the YouthWrite program and comment on the applicant’s special strengths. (Letters from relatives are NOT acceptable.)

near Bragg Creek, AB

July 1 - 6, 2018 Overnight Camp (Ages 12-14)

J.W. McConnell Family Foundation AND La fondation de la famille J.W. McConnell


YouthWrite River Valley Experience Bennett Centre

in Edmonton’s beautiful river valley 9703 94 Street

July 8 - 13, 2018

July 2 - 6, 2018

Overnight Camp (Ages 15-19)

Day Camp (Ages 8-11)

DEADLINE IS JUNE 15 (River Valley & Peak I) • JUNE 22 (Peak II)



BUT this camp traditionally sells out, so please register early to avoid disappointment.

Last Name: First Name: M


River Valley Experience Other

Date of Birth:


Bennettt Centre (Edmonton, AB) - July 2 - 6, 2018:

Full week - day camp (ages 8-11)


Price includes: tuition, supplies, lunch, snacks, entertainment.

Street Address:


After-camp care until 6 pm, M-Th

The coordinator is an expert: Gail Sidonie Sobat first envisioned YouthWrite in 1996 and has since run camps for 21 years. In addition to being an author, Gail is a Governor-General finalist for Excellence in Teaching who has taught elementary, junior, and senior high school, and an instructor in the Bachelor of Communications Studies program at MacEwan University and in U of A’s Faculty of Education. She was a Global News Woman of Vision and a City of Edmonton Citation Award recipient in 2017.

DEADLINE IS JUNE 15 (River Valley & Peak I) • JUNE 22 (Peak II)...

Peak Experience I


Kamp Kiwanis (near Bragg Creek, AB) - July 1 - 6, 2018: Province: Phone:

Full week - overnight (ages 12-14)

Postal Code:


Price includes: tuition, supplies, meals, snacks, accommodation, entertainment.


Peak Experience II


Kamp Kiwanis (near Bragg Creek, AB) - July 8 - 13, 2018:

Full week - overnight (ages 15-19)

Parent Email:


Price includes: tuition, supplies, meals, snacks, accommodation, entertainment.

Name of school currently attending:

Pre-camp orders: $25

YouthWrite T-shirt

Many of the instructors and supervisors of the YouthWrite collective have been working with her and on this camp from its inception. Collectively, we bring expertise years of experience and know-how.


Authors, artists, and illustrators of the collective are some of the finest in the province and beyond and are committed to mentoring youth. We know all about “wordplay” and use a multi-disciplinary approach to creative writing.


Grade or Year:

It is agreed that the applicant named on this form will, if accepted, abide by the rules of the Bennett Centre, Kamp Kiwanis and the Kiwanis Club of Calgary, and the YouthWrite program. In consideration of YouthWrite 2018 accepting this application, I forever release the YouthWrite Society Canada, Kamp Kiwanis, the Bennett Centre, Edmonton Public Schools, the Coordinator, Staff, Instructors, Supervisors, Technicians, and their respective Servants, Agents, or Employees from any or all claims, damages, or cause of action out of participating in YouthWrite 2018. If applicant is under age 18, name of parent or guardian:

Work Phone:


Signature of parent/guardian or applicant (18 or older):

We are inclusive and we celebrate diversity. Forget anything? Here’s a handy checklist: completed application form

sample of writing

responses to questions


letter of recommendation

Please check size:





I wish to make a donation to YouthWrite: $ (Donations $25+ receive tax receipts) Total Payment Amount:


Method of Payment: E-transfer (Online to ) Cheque (Payable to “YouthWrite Society Canada”) PayPal (Online for Visa and MasterCard - plus 5% service fee) All fees include a $100 non-refundable fee. Beyond this, no refunds will be made if registration is cancelled after June 15th, 2018 (River Valley & Peak I) or June 22nd (Peak II). However, a full refund will be made in the event an applicant is not accepted into the program. YouthWrite Society Canada reserves the right to cancel courses and restrict enrolment. Courses, instructors, and supervisors may be subject to change.

Note: You will be asked to create a YouthWrite CampFax Account, even if you choose to complete this form rather than register online.

Please note: ONLINE course selection is allowed once an applicant is accepted to YouthWrite! Applications are processed in the order received.

Yw2018applicationv3proof 1  

YouthWrite camps for kids who love to write... just about anything! are now accepting registrations! YouthWrite is a non-profit multi-disc...

Yw2018applicationv3proof 1  

YouthWrite camps for kids who love to write... just about anything! are now accepting registrations! YouthWrite is a non-profit multi-disc...