Children’s Village Registration

Pre-registration is vital to assure proper accommodations for each individual child. Please fill out information below to register online or download the form and submit to youth@delouafrica.org.
* Space is not guaranteed after registration deadline.

For organizations/groups please submit a list of all children’s names with your registration form to assure proper accommodations.

DEADLINE: To assure proper accommodations deadline for all request is July 31, 2017 .

Our Children’s Village also includes, Storytelling, Arts & Crafts, Face Painting, Double Dutch Jump Rope, Health Screening, Drum Circle and Back to School Give Away.

CANCELLATIONS: As a courtesy please give advance notice if canceling so space can be reserved for another individual(s).

By registering for this event, I agree to the usage of my image for Delou promotional materials.

By registering for this event, I accept to recieve E-mail notifications from Delou Africa, In. and its constituents.

By registering for this event, I hereby release Delou Africa, Inc., and all associated entities from any responsibility for any damage to me or my property while a participant at this event. I consent to the rules as stated and I have received no promise of any type, oral or written, other than herein.

  • Delou Africa, Inc. assumes no responsibility for personal injury or personal loss.
  • * ALL children must be accompanied and supervised by an adult.
  • Absolutely NO video-taping, photography, and audio will be permitted during the conference/festival activities

Parent's Name / Organization: (required)

Address: (required)

City: (required)

State:(required)

Zip Code:

Phone Number:

E-mail: (required)

For drum & dance workshop only.
Please indicate the age of child:

Children Village Activities (ages 5-12)

Saturday, August 5, 2017

Select Workshop and List Number of Children

Children's Drum (Ages 5-12):
Total Number of Children/Tickets:

Children's Dance (Ages 5-12):
Total Number of Children/Tickets:

Arts & Crafts:
Total Number of Children/Tickets:

African Folktale:
Total Number of Children/Tickets:

Drum Circle & Face Painting:
Total Number of Children/Tickets:

Book Bag Give-Away:
Total Number of Children/Tickets:

Health Fair:
Total Number of Children/Tickets:

If more than one child, please list their names

I agree to the usage of my child(s) image for Delou's promotional materials.

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