9th Annual D2GB Children's Performing Arts Camp - Organization Form
Date: Monday August 1-Friday August 5, 2016
Time: 9:30am to 3:30pm daily

Application Deadline: Friday June 17, 2016

Notes: Organizations are responsible for transportation to and from our location. A complete and final list of participating children must be submitted by June 30th, 2016 to carla@revolucionlatina.org

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
Do you want more information on registering for R.Evolución Latina's Dance-a-thon, an event that fundraises for programs like this? *
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