10th Annual D2GB Children's Performing Arts Camp - Organization Form
Date: Monday July 31st through Friday August 4, 2017
Time: 9:30am to 3:30pm each day

Application Deadline: Friday June 16, 2017

Notes: Organizations are responsible for transportation to and from our location. There will be a limit to the number of 7-8 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 30th, 2017 to carla@revolucionlatina.org.

Organization/Group Name
Your answer
Organization/Group Contact Person
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Organization/Group Contact Person Email
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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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