Name *
Name
What are your interests in writing?
Are you:
Our lodging facility consists of 12 rooms, each with 2 single beds and private bath. Are you comfortable sharing a room with another retreat attendee of your gender? *You may request lodging with a friend if you both are attending.
Agreement *
I understand, if my application is accepted, I will be required to pay a $250. non-refundable deposit to "The Breath & the Clay" by June 15th, 2018. Checks can be mailed to: The Breath & the Clay P.O.Box 10438 Greensboro, NC 27404 or you can pay online. My remaining balance of $175. will be due by October 1st, 2018. I agree to these terms.