Inquiry Form

Thank you for your interest in our summer program. Please take a moment to fill out the following form to initiate the registration process. Our program staff will contact you for further steps.

For any questions, please contact Amanda Bogan, Program Coordinator for Children and Youth Programs, at [email protected] or 212-744-8181 ext. 143.

Parent/Guardian Information (* indicates mandatory fields)

Student's information (* indicates mandatory fields)

MaleFemale



WhiteBlack or African AmericanAmerican Indian or Alaska NativeAsianNative Hawaiian or Other Pacific IslanderOther



YesNo



YesNo



YesNo