Make your own free website on

Retreat Registration Form

Please fill out all of the fields below. Use your browser's print button to print this form out and mail it to:

                          John Oliver Killens Writers Workshop Inc.
                          399 Halsey Street, Suite 100
                          Brooklyn, NY 11233-1014

Please send me more information about your writing retreat. I am interested in:

A Weekend

One Week

Two Weeks

* Name :

* Address:

* Zip:

* City:

* State:


* Phone:

* E-mail:

Home | About Dr. John Oliver Killens | Meet The Executive Director | Professional Level Workshop | Classes | Reading Series | Writing Retreat | The Other Half Magazine | Calendar | Publications