IN-SCHOOl ARTS REGISTRATION FORM

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Please complete this registration form to secure your school as a program partner in our In-School Arts Dorill curriculum for the 2023-2024 academic year! We will accept rolling registration throughout the academic school year.

Email *

SCHOOL INFORMATION

SCHOOL NAME *

SCHOOL STREET ADDRESS *

SCHOOL BOROUGH *

Manhattan

Bronx

Brooklyn

Queens

Staten Island

SCHOOL ZIP CODE *

SCHOOL PHONE *

PRINCIPAL INFORMATION

PRINCIPAL FIRST NAME *

PRINCIPAL LAST NAME *

PRINCIPAL EMAIL *

PARENT COORDINATOR INFORMATION

PARENT COORDINATOR FIRST NAME *

PARENT COORDINATOR LAST NAME *

PARENT COORDINATOR EMAIL *

What in particular sparked your interest in our In-School Arts program? Is this something you would like for our partnership to focus on? *

What grade(s) do you want our In-School Arts program to collaborate with? *

CERTIFICATION OF REGISTRATION

Check the following: *

I certify that the information provided in this registration form is true and correct to the best of my knowledge.

Required

Send me a copy of my responses.

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