SUMMER ARTS REGISTRATION FORM

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Summer Arts Dorill is a FREE interdisciplinary arts five-week intensive program for young citizen artists ages 10 - 18 years old.

Our program begins on July 8th and ends on August 10th. It requires a commitment Monday - Friday from 9:00am to 5:00pm.

Summer Final Show will be held on Friday, August 9th, 2024.

Please discuss this commitment with your children before completing the registration form, so that you are both agreement to make this commitment this upcoming Summer.

The program is located at 402 E 8th Street, New York, NY,10009.

We will be accepting registrations until Monday, June 10th, 2024 at 11:59pm!

Email *

PARTICIPANT INFORMATION

FIRST NAME *

MIDDLE NAME

LAST NAME *

DATE OF BIRTH *

YYYY

Gender *

Female

Male

Other:

RACE (SELECT ALL THAT APPLY) *

American Indian and Alaskan Native

Asian

Black or African-American

Middle Easter/ North African

Native Hawaiian and Other Pacific Islander

White or Caucasian

Other:

Required

ETHNICITY (SELECT ALL THAT APPLY) *

Hispanic or LatinX

Not Hispanic or LatinX

Other:

Required

HOME ADDRESS *

DO YOU LIVE IN A NYCHA DEVELOPMENT (PLEASE PROVIDE NAME) *

Clear form

Never submit passwords through Google Forms.

This form was created inside of DORILL INITIATIVE. Report Abuse

Forms