KDO Online - Summer Program 2020 Registration
KDO is a public charity that relies on grants and individual donations. We strive to serve a diverse population and to create a culture of openness and inclusion. From time to time our founders request demographic information from us to ensure data is consistent with their standards and guidelines. This information is used solely for this purpose, and your responses will be kept private and secure. We respectfully ask for your permission to share that information with them, and hope you will let us know if you prefer not to participate in this process.
Email address *
If you have more than one child to register you will need to complete a registration form for each child.
KDO Summer Programming 2020 will take place online via ZOOM virtual platform. Please check all that apply: *
Required
After you submit this registration form successfully, you will receive an email from Kids Dance Outreach with details on how to submit your one-time, non-refundable Registration Fee in order to confirm and secure your child's participation in the program.
Please select all that apply. I would like to register my child for the following programming: *
Student First Name *
Student Last Name *
Student Age *
(at time of camp)
Student's Incoming Grade (School Year 2020-2021) *
School Year 2020-2021
Student Gender *
Student's School *
Does your child require additional assistance or supervision in order to be successful at school? *
Does your child have an I.E.P.? If yes, please explain
Confirm Preferred E-Mail Address *
City, State, Zip Code of Residence *
County of Residence (i.e. Marion, Hamilton) *
Parent/Guardian First and Last Name *
Phone Number *
How did you hear about KDO? *
Student Resides With *
Student's Race/Ethnicity *
Does the student qualify for free/reduced meal program at school? *
I consent for my child to participate in the Kids Dance Outreach Program *
Required
I consent to the use of, and understand that pictures/video/interviews taken of my child during Kids Dance Outreach may be used for publicity purposes *
Required
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