Cypress Hills LDC Afterschool Enrollment Form
Thank You for your interest in enrolling your child in the Cypress Hills Local Development Corporation's After School Programs, funded by the Department of Youth and Community Development (DYCD), 21st Century Community Learning Centers and/or Advantage Afterschool Programs. Your completion of this form does not guarantee a space in our program. A Director will be in contact with you to verify the information you have provided and to facilitate a Parent Orientation to guide you through the agency's Policies and Procedures. We look forward to working with you to provide high quality and engaging program activities to your child.
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In-person /Hybrid Programming
Full Remote Learning
For in-person/hybrid programming, what School Cohort is your child a part of? Select 1
Not applicable: My child is in Cohort D (Fully Remote)
Child's First Name
Child's Last Name
Child's Date of Birth
Home Address (Number, Street, City, Zip Code)
Child's Primary Language
How well does the child speak English?
Not well at all
PS 7: Abraham Lincoln
PS 65: Cessiah Toro Mullane School
PS/IS 89: Cypress Hills Community School
PS 290: Juan Morel Campos
PS 345: Patrolman Robert Bolden School
PS 677: East New York Elementary School of Excellence
Beacon @ PS 214
Beacon @ JHS 218
IS 171: Abraham Lincoln
Highland Park Community School
Liberty Avenue Middle School
Current Grade (September 2020)
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This form was created inside of Cypress Hills Local Development Corporation.