Nature Connection at NECS - Pre-Registration Form
NECS is offering a 6 week Nature Based Camp for middle school students. Participants will learn about the natural world, as they explore Depew Park, Blue Mountain Park, and visit a local farm. The 6 Week camp will encourage self-discovery, and a connection to nature. Space is limited.

Please Note: filling out this initial form does not mean one has registered for the program. Applicants who are applying for scholarship will have to show proof of financial need and attend an in-person appointment. The process will primarily be based on first-come, first serve.

The six weeks are broken up into two sessions.

Session 1: July 1st - 19th | Session 2: July 22n - August 9th

Child Name *
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Child Age *
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Additional Child (name and age)
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Parent or Guardian Name(s) *
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Email *
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Phone Number *
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Emergency Contact (name and number) *
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Will your child be attending session 1, session 2, or both? *
Has your child attended a summer camp at NECS or elsewhere previously? *
Does your child have allergies? *
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Medical history (list if any)
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Does your child need special accommodations or an IEP?
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Will you be applying for financial assistance? *
Comments and Questions *
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