2019 Manice Education Center: New Camper Application Form
Christodora's 2019 Manice Education Center Program is open to
middle and high school students who are residents of New York City.
New Camper Info:
Student First Name
Student Last Name
Gender (Check One)
Program that helped you apply (Partner Program)
Camper Cell Phone
District Of Columbia
Northern Mariana Islands
PRIMARY Guardian/Parent Info. Guardian/Parent must provide e-mail, phone number, or both:
Primary Legal Parent/Guardian Name
Parent/Guardian Home Phone
Parent/Guardian Cell Phone
Parent/Guardian Work Phone
Language(s) Spoken by Parent/Guardian
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,
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
New Youth Conservationists Weekend Program at the New York Botanical Garden
Recruitment event or camp fair
Online/social media search
Friend, 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?
Please review your application before submitting your form. If you have any issues submitting the form please contact us at 212-371-5225.
Need assistance with this form?