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Parent First & Last Name*

First Last

Parent Email*

Parent Phone*

Enter without dashes or parenthesis

Camper(s) First name(s)*

Camper(s) Age(s)*

Camper(s) school(s)*

Camper(s) grade(s) for Fall 2020*

If camper's school doesn't have typical grade levels, please select the closest grade if they were in a public school.

What borough do you live in?*

What neighborhood do you live in?*

How did you hear about NCDC?*

If you were referred by a friend or family member, please add their full name.

Does (Do) your child(ren) require additional support?*

Please check yes if your child has an IEP at school, works with a para, or may otherwise need additional support at camp.

If so, please provide details:

Questions? Get in touch!