SATURDAY ARTS DORILL REGISTRATION (September 2021 - June 2022)
Please complete this registration form by Wednesday, September 22nd, 2021 to secure your spot in our Saturday Arts Dorill program for this upcoming academic year!

Program starts on September 25th, 2021 and runs through December 11th for the Fall/Winter Session.

DoER Citizens (Middle School): 10am - 3pm
DoER Artists (High School): 10am - 3pm
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PARTICIPANT INFORMATION
FIRST NAME *
LAST NAME *
HOME ADDRESS *
DOB *
MM
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DD
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YYYY
GRADE *
SCHOOL NAME *
SCHOOL ADDRESS *
SCHOOL BOROUGH *
SCHOOL ZIP CODE *
T-SHIRT SIZE *
PARENT / GUARDIAN INFORMATION
FIRST NAME *
LAST NAME *
HOME ADDRESS *
PHONE *
EMAIL *
CERTIFICATION OF REGISTRATION
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