Notably Gifted Summer Arts Camp Enrollment
Register to join creative activities for students aged 5-17 2800 E. River Road Dayton, OH 45439 .
Student's Full Name
*
First Name
Last Name
Student's Date of Birth
*
-
Month
-
Day
Year
Date
Grade student will enter into the fall
*
Please Select
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
T-shirt size
*
Please Select
Youth XS
Youth S
Youth M
Youth L
Youth XL
Adult XS
Adult S
Adult M
Adult L
Adult XL
Adult XXL
Which program will the student attend?
*
Artist (choir, art, piano, percussion)
Dance
Parent/Guardian Name
*
First Name
Last Name
Emergency contact
*
First Name
Last Name
Parent/Guardian Email Address
*
example@example.com
Parent/Guardian Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Register
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