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12th Annual D2GB Children's Performing Arts Camp - Organization Application Form
Date: Monday July 29th to Friday Aug 2nd, 2019
Time: 9:30am to 3:30pm each day

Application Deadline: Friday June 14, 2019

Notes: Organizations are responsible for transportation to and from our location. There will be a limit to the number of 7-8 & 9-10 year old participants for each organization who will need to show proof of age (ex: birth certificate, etc.) upon acceptance. A complete and final list of participating children must be submitted by Friday June 28th, 2019 to carla@revolucionlatina.org.

Email address *
Organization/Group Name *
Your answer
Organization/Group Contact Person *
Your answer
Organization/Group Contact Person Email *
Your answer
Organization/Group Contact Person Phone # *
Your answer
Number of campers requested to participate *
We ask that there is one representative or chaperone for every 10 children.
Your answer
Please describe how your organization/group is currently "going beyond" and how your participants can benefit from this program. *
Your answer
How will your organization/group incorporate what campers learn through this experience? *
Your answer
If you could share a message with your community, what would that be? *
Your answer
Do you want more information on registering for R.Evolución Latina's Dance-a-thon, an event that fundraises for programs like this? *
A copy of your responses will be emailed to the address you provided.
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