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Spring Art Workshop and Summer Art Program/Taller de arte de primavera y programa de arte de verano
To register for the 2019 spring art workshop or summer art program, complete this form and send payment within two weeks to: Dunellen Recreation Dept, 355 North Ave, Dunellen, NJ 08812. Make check or money order payable to Dunellen Arts and Culture Commission. Grant funding has been provided by the Middlesex County Board of Chosen Freeholders through a grant provided by New Jersey State Council on the Arts/Department of State.

Para inscribirse en el taller de arte de primavera de 2019 o el programa de arte de verano, complete este formulario y envíe el pago dentro de dos semanas al: Dunellen Recreation Dept, 355 North Ave, Dunellen, NJ 08812. Haga el cheque o giro postal a nombre de Dunellen Arts and Culture Commission. Los fondos de la subvención han sido proporcionados por la Junta de Elegidos Titulares del Condado de Middlesex a través de una subvención otorgada por el Consejo de Arte / Departamento de Estado de Nueva Jersey.
Email address *
Child's First and Last Name/El nombre del nino *
Your answer
Child's Age as of July 1, 2019/Anos *
Your answer
Child's Date of Birth/Fecha de nacimiento *
MM
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DD
/
YYYY
Parent/Guardian Name/Nombre de los Padres/Tutor *
Your answer
Emergency Number/Numero del telefono de emergencia *
Your answer
Address/City/Zip/Direccion/Ciudad/Estado *
Your answer
Select week(s)/Selecta semena(s): *
Required
I understand payment is required to save my child's spot and will send a check or money order payable to Dunellen Arts and Culture Commission to Dunellen Recreation Dept, 355 North Ave, Dunellen, NJ 08812 within two weeks. Entiendo que el pago es necesario para salvar el lugar de mi hijo y enviaré un cheque o giro postal a Dunellen Arts and Culture Commission, Dunellen Recreation Department, 355 North Ave, Dunellen, NJ 08812 dentro de las dos semanas. *
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