DGF Summer Recreation Registration Form - Post Deadline

Student First Name *
Your answer
Student Last Name *
Your answer
Street Address *
Your answer
City *
Your answer
Zip *
Your answer
Parent First and Last Name (1st Parent) *
Your answer
Parent First and Last Name (2nd Parent) *
Your answer
Parent Cell Phone (1st Parent) *
XXX-XXX-XXXX
Your answer
Parent Cell Phone (2nd Parent) *
XXX-XXX-XXXX
Your answer
Parent Email Address (1st Parent) *
Your answer
Parent Email Address (2nd Parent) *
Your answer
2018-19 Grade *
Age (Number) *
Your answer
Student's Birthdate *
MM/DD/YYYY
Your answer
Gender *
Required
T-Shirt Size *
T-Ball
Preschool-Kindergarten
Coach Pitch
1st/2nd Grade
Ponytail Softball
3rd Grade
Ponytail Softball
4th Grade
Ponytail Softball
5th Grade
Ponytail Softball
6th Grade
14 & Under Fastpitch Softball
18 & Under Fastpitch Softball
Flag Football
2nd-4th Grade
Mini Kickers
K-2nd Grade
Mini Kickers
3rd-6th Grade
3rd Grade Pee Wee-Knothole
3rd Grade
4th Grade Pee Wee-Knothole
4th Grade
5th Grade Little League
5th Grade
6th Grade Little League
6th Grade
Youth Kickball
PreK-2nd Grade
Intro to Boys Basketball
1st-2nd Grade
Beginners Boys Basketball Camp
3rd-4th Grade
Intermediate Boys Basketball Camp
5th-6th Grade
Advanced Boys Basketball Camp
7th-9th Grade
Beginners Girls Basketball Camp
1st-2nd Grade
Intermediate Girls Basketball Camp
3rd-5th Grade
Advanced Girls Basketball Camp
6th-8th Grade
Girls Shooting School
3rd-5th Grade
Girls Shooting School
6th-8th Grade
Football Camp
4th Grade
Football Camp
4th-8th Grade (4th grade need to supply their own football gear - See note in brochure)
Beginners Volleyball Camp
1st-3rd Grade
Intermediate Volleyball Camp
4th-6th Grade
Advanced Volleyball Camp
7th-9th Grade
Volleyball Serving Clinic
5th-8th Grade
Volleyball League
5th-8th Grade
Rebel Wrestling Camp
PreK-2nd Grade
Rebel Wrestling Camp
3rd-6th Grade
Dance Camp
K-2nd Grade
Dance Camp
3rd-5th Grade
Rebel Speed and Strength
8th-12th Grade
Rebel Agility
7th Grade
Theater Camp-Wizard of Oz
3rd-12th Grade
Theater Camp-Alice in Wonderland
3rd-12th Grade
Crazy Little Projects
K-2nd Grade
Artrageous Express
3rd-5th Grade
Crafty Celebrations - 4th of July
Age 3-2nd Grade
4th of July Lantern
Kindergarten-5th Grade
Intro to Drawing
K-2nd Grade
Advanced Drawing
4th-5th Grade
Cartooning
3rd-5th Grade
Watercolor Fun
3rd-5th Grade
Canvas Painting - July 15
2nd-8th
Canvas Painting - June 24
2nd-8th
All Aboard - Rustic Train Celebration
PreK-2nd Grade
Jewelry Making Workshop
2nd-5th Grade
Marbel Maze: Exploring Energy
3rd-5th Grade
Bubble-ology
K-2nd Grade
Fizzy Fun: Chemical Reactions
K-2nd Grade
SLIME! Fun with Polymers
3rd-5th Grade
Simple Robots
3rd-5th Grade
Tower Challenge
3rd-5th Grade
Turn Science into Art
3rd-5th Grade
Code Ninjas-Roblox Create - 1/2 Day
Age 7-14
Code Ninjas-Roblox Create - Full Day
Age 7-14
Code Ninjas-Game Builders Club
Age 7-14
4-H Summer Adventures - Dilworth Site
1st-5th Grade
4-H Summer Adventures - Glyndon Site
1st-5th Grade
Play 2 Learn
Pre-K (4 & 5 year olds)
Terrific Tott's
3 year olds
Math Games
1st-4th Grade
Computer Fun
2nd-3rd Grade
Band Camp
5th Grade
Library and Story Time
Kindergarten-8th Grade
ACT Prep - 10th-12th Grade
Please check below the $75 box and also check if this is the 1st or 2nd time taking class.
Princess Parade
Age 3-7
Baking Made Easy
1st-5th Grade
When I'm in Charge
3rd-7th Grade
Gardening Basics
PreK-2nd Grade
Bike Rangers
3rd-5th Grade
Sand Volleyball
3rd-6th Grade
SkyZone
1st-6th Grade
Sub-Total Activities: *
Your answer
If you would like to make a donation to be used for scholarship assistance please indicate amount below:
Please make sure this donation amount is included in the Grand Total.
Your answer
Grand Total - (Registrations and Donations) *
Amount needs to be calculated manually and will be checked for errors once submitted.
Your answer
Volunteer Coaches-Some activities need volunteer coaches. If you’re a parent, guardian, or someone interested in volunteering to coach, please contact Community Education.
Volunteer First and Last Name
Your answer
Volunteer Email
Your answer
Volunteer Contact Phone Number (xxx-xxx-xxxx)
Your answer
By clicking this box I am giving permission for my child to participate in the Summer Recreation programs checked above. I understand that as with participation in school activities, I will assume responsibility in the case of accidents, injury or lost or damaged personal items during the programs duration. *
Required
Parent/Guardian Electronic Signature *
Your answer
The last step to the registration process is to submit payment. How will you be submitting payment? *
Payments can be made in one of three ways (click the payment method you will be using)
Required
Submit
Never submit passwords through Google Forms.
This form was created inside of Dilworth Glyndon Felton School District 2164. Report Abuse - Terms of Service