NYCDOH 2011 Summer Camp Nutrition Workshop Sign-Up
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| Camp Name/Organization
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| Director/Contact Person
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| email
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| confirm email
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| Phone
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| Site Street Address
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| Site Boro
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| Site ZIP Code
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| Camp Start Date
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| Example: 06/27
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| Camp END Date
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| Example: 06/27
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| Camp Hours: START time
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| Please list the earliest time a workshop could begin. For example, if you start camp at 8AM but have breakfast until 8:30, please list your "start time" at 8:30 am.
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| Camp Hours: END time
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| Again, please list the latest time the workshop could feasibly END. For example, if your camp ends at 5PM but you start dismissal at 4:30 please list 4:30 as your "end time".
If your camp hours are not listed, please use comments field to list them.
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| Camp LUNCH Hour: START time
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| If your camp hours are not listed, please use comments field to list them.
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| Camp LUNCH Hour: END time
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| If your camp hours are not listed, please use comments field to list them.
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| Grade of Campers
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| K-3 4-7 8-12 You may check all that apply if you have multiple aged campers.
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| Number of campers K-3:
| We can only do 50 campers at one time but you may list the total campers in this age bracket even if it exceeds 50. There is a possibility of multiple workshops if the schedule allows.
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| Number of campers 8-12:
| We can only do 50 campers at one time but you may list the total campers in this age bracket even if it exceeds 50. There is a possibility of multiple workshops if the schedule allows.
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| Number of campers 4-7:
| We can only do 50 campers at one time but you may list the total campers in this age bracket even if it exceeds 50. There is a possibility of multiple workshops on the same date if the schedule allows.
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| Other comments/questions:
| If there are days you need to "block out" becuase you have field trips or other conflicts you may list them here. Please note that the more flexible you can be with dates and times the more likely it is that you will be scheduled a workshop.
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