SATURDAY ARTS DORILL 2022-2023

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Please complete this registration form by Saturday, September 10th, 2022 to secure your spot in our Saturday Arts Dorill program for the 2022 - 2022 academic year! We will accept rolling registration until Saturday, February 19th, 2022 for our Spring Session which runs from January 22nd - June 18th, 2022.

* Middle School Community Artists: 10am - 3pm
* High School Community Artists: 10am - 3pm

Email *

PARTICIPANT INFORMATION

FIRST NAME *

LAST NAME *

DOB *

YYYY

HOME ADDRESS *

GRADE *

SCHOOL NAME *

SCHOOL ADDRESS *

SCHOOL BOROUGH *

Manhattan

Bronx

Brooklyn

Queens

Staten Island

SCHOOL ZIP CODE *

T-SHIRT SIZE *

XXL

PARENT / GUARDIAN INFORMATION

FIRST NAME *

LAST NAME *

HOME ADDRESS *

PHONE *

EMAIL *

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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