Initial Intake Form

Wait! Your registration may not be complete!

Please fill out and submit the Initial Intake Form (below) to complete your registration. If you have already submitted the intake form with your paid registration, then you're good to go. Thanks much!

A Few Things to Remember...

If you have not already, please fill out the Initial Intake Form.
Registration is online so we can prepare for you.
All workshop materials (including workbook) meals and snacks are covered in the cost. If you have dietary restrictions (not preferences), please let us know and we will do what we can to work with you.
Head to Hand Writer's Workshops are for adults who wish to self-publish an uplifting, non-fiction book. Although we do handle poetry and short business books, our main focus is faith-based books.
Head to Hand Writer's Workshops are faith-based.
Be sure to dress comfortably from head to toe. This is VERY important. If you need to bring a sweater (or a fan), do so. We want you focused on your book.
Check-in is at 9:45 a.m. Arrive early so you can relax, eat, and get situated. If you come late and try to play "catch up" you will not get the full value of the workshop.
- Memphis workshop (August 11) - NO refunds can be given after August 6

Initial Intake Form

After you have registered, we want to make certain to be fully prepared for your arrival. Thank you for taking the time to fill out this form.

Dell
Your Book Project Manager

* Indicates required field

Name *

First

Last

Please enter the date and location of the Head to Hand Writer's Workshop for which you have registered. You must be registered to attend. *

Email *

Complete mailing address *

Line 1

Line 2

City

State

Zip Code

Country

Mobile Phone Number *

Do you have any food allergies? *

No Yes (list below)

Food allergies *

Emergency contact name and number *

How many pages do you anticipate your finished book to be? This is not etched in stone. We only need a ballpark idea. Which group? *

Group 1: between 25 - 150 pages Group 2: between 151 - 200 pages

What size book are you thinking about? For this program, it cannot be smaller than 5 x 8 inches or larger than 8 1/2 x 11 inches. You don't need an exact size at this point, we only need to know which group. *

Group A: 5 x 8 inches; OR- 5 1/2 x 8 1/2 inches; OR- 6 x 6 inches; OR 6 x 9 inches (most books will be in group A) Group B: 7 1/2 x 9 1/4 inches; OR- 8 1/2 x 11 inches (workbooks, worktexts, or anything in which the reader is expected to write extensively will be in group B)

Will you allow the event host, and Speak Through Me Communications, to use your photo, written words, or voice as a testimonial on their websites and other promotional/marketing materials? *

Yes No

Please bring your ideas for your book. This is not a "talk-about" workshop. This is a "work" workshop. We're getting ready to make some things happen! Fill out this form and click the "I'm Ready!" tab.

Is there anything specific we need to know before we start? *

I'm Ready!

Please Remember...

Head to Hand Writer's Workshops are for adults who wish to self-publish an uplifting, non-fiction book.
Be sure to dress comfortably from head to toe. This is VERY important.
Check-in is at 9:45 a.m. Arrive early so you can relax, eat, and get situated. If you come late and try to play "catch up" you will not get the full value of the workshop.
- Memphis workshop (August 11) - NO refunds can be given after August 6

A Few Things to Remember...

Initial Intake Form

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