2024 Manice Education Center: New Camper Application Form

Christodora's 2024 Manice Education Center Program is open to middle and high school students who are residents of New York City.

Program Information

Program Year

Program Term

New Camper Info:

Student First Name

Student Last Name

Age

Birthdate(mm/dd/yyyy)

Gender (Check One)

FemaleMaleOther

School Name

Current Grade (2023-24)

Program that helped you apply (Partner Program)

Camper's Email

Camper Cell Phone

Home Address

Home Address

City

State

Zip Code

PRIMARY Guardian/Parent Info. Guardian/Parent must provide e-mail, phone number, or both:

Primary Legal Parent/Guardian Name

Parent/Guardian Email

Parent/Guardian Home Phone

Parent/Guardian Cell Phone

Parent/Guardian Work Phone

Language(s) Spoken by Parent/Guardian

Optional:

You most identify with (check all that apply):

African American/Black (including Africa & Caribbean)Hispanic/Latino (including Spain)White (including Middle Eastern)Asian (including Indian subcontinent & Philippines)Native American (including all Original Peoples of the Americas, HI, or AK)Other

How did you hear about Christodora? (Please check all that apply)

Winter Ecology Program (educators were directly in your classroom during the school year)3-day Field Trip to the Manice Education Center with your school during the Fall/SpringNew Youth Conservationists Saturday Program Recruitment event or camp fairOnline/social media searchFriend, family member, or educator told you about it. If so, please list their full name(s) below:

Please answer the following questions:

What excites you about our camp?

Have you ever been to an overnight camp? Where was the camp located? How long was your stay?

Have you ever been hiking/backpacking or canoeing before? What excites you about hiking or canoeing?

What, if anything, worries you about attending summer camp?

Please review your application before submitting your form. If you have any issues submitting the form please contact the Admissions Team: admissions@christodora.org or (347)-468-2878.

Contact Information