Summer Camp 2026 Application

Dear Caregivers,  
 
This summer, Harlem Grown campers will become NYC Eco-Detectives, solving real-world mysteries across our city’s connected ecosystem. Each week, campers in rising Grades 1–6 will solve a mystery by collecting clues, gathering evidence, asking questions, and testing ideas. Through gardening, cooking, science, creative electives, and field trips, campers will explore how people, plants, animals, food, water, and neighborhoods are all connected. 
  
The goal of NYC Eco-Detectives is to empower campers to explore New York City, especially Harlem and surrounding neighborhoods, as a connected ecosystem and to see themselves as capable investigators, collaborators, and community stewards.  
 
Details 
Time: Monday through Thursday 8:30AM to 4:00PM; Friday 8:30AM to 3:15PM. Children may be dropped-off beginning at 8:15AM and must be picked up by 4:15PM. On Fridays, pick up will be at 3:15PM. 
 
Dates: Monday, July 6th to Friday, August 14th 
 
Fees: Harlem Grown’s Summer Camp is FREE for all participants. 
 
Caregiver Orientation: If your child is selected to attend Harlem Grown’s camp, it is MANDATORY for a parent/guardian to attend ONE of these sessions. Dates will be shared closer to program start*. 
 
*Due to high volume of applications, campers will be selected via a lottery and we will not be able to provide individual follow up on application status. Completion of this camp application form does not guarantee admission to camp. Selected campers will be notified the week of May 18th.  
 
In order to be considered for our summer camp lottery, all children must:

• Be a rising 1st-6th grader for the 2026-2027 school year.
• Agree to attend all 6 weeks of camp.
• Be fully immunized and up-to-date on eligible vaccines. NOTE: No religious exemptions to vaccinations are allowed. 
• Complete the application form in full by Friday, May 15th.
• Submit a completed copy of the Child & Adolescent Health Examination Form by Friday, May 15th. The form must be filled out by a medical professional and dated within the last year. 
• Attend the caregiver orientation session if your child is selected. 

If you have any questions, please contact the program management team at: afterschool@harlemgrown.org

Parent/Guardian's Contact Information:

Applicant's Education Information:

Emergency Contact Information:

We will always attempt to contact the parents/guardians first, but if a parent/guardian cannot be reached, we will call the following contacts in the order listed.

The emergency contacts provided below should be adults over age 18 who we should contact in case a parent/guardian cannot be reached. Unless otherwise indicated, Emergency Contacts will also be authorized to pickup the child.

Authorized Pick Up:

Emergency contacts listed above are authorized to pick up the child unless otherwise noted. All people listed will be asked for ID for verification at pick-up.

The following additional people are aged 18 and older and are authorized to pick up my child:

The following people MAY NOT pick up my child:

Please answer the questions below and provide additional details in the spaces provided.

Many needs or health challenges can be accommodated and may not limit enrollment in the program.

Applicant Demographic Information:

For all the next set of questions, HOUSEHOLD is defined as any individual or group of individuals (family or non-family members) who are living together as one economic unit.

INCOME is defined as the total annual gross income of all family and non-family members 18+years old living within the household.

Consent to Participate:

To the best of my knowledge the information above is true. I agree to its verification and understand that falsification may be grounds for termination of service. Information provided may be used by the City of New York to improve City services and access to those services, and to access additional funding.

Consent for Emergency Medical Treatment:

I intend to enroll my child as a participant in Harlem Grown's Summer Camp. In the event of a medical emergency, I hereby give consent for necessary emergency medical treatment for my child to be obtained, with the understanding that I will be notified as soon as possible. I understand that every effort will be made to contact me, or, if I am unavailable, the emergency contact(s) listed, before and after medical care is provided.

Consent and Release for Photography/Videotaping and Use of Original Work:

As a participant enrolled in a Harlem Grown program, please be aware that from time to time Harlem Grown may be present during program activities and special events associated with program services, both at the usual program location and at off-site events. In some cases, they may photograph, videotape, interview or otherwise record participants and their families and friends in these programs. The resulting images, videos, and interviews may be used, with or without the participant’s name, in printed and electronic media, including but not limited to, brochures, books, print and email newsletters, DVDs and videos, websites, social media and blogs or in all manner of media whatsoever, now known or hereafter developed (the “Media”), including unrestricted use for purposes of publicity, advertising and sales promotion, and to use the Child’s name, likeness, voice, and biographical or other information in connection therewith (the “Material”). I understand that Harlem Grown and its Summer Camp exclusively own all rights to the Material irrespective of the form in which it is produced or used. 

For purposes of this Consent and Release, “Authorized Parties” includes Harlem Grown’s Summer Camp staff, contractors, program partners, field trip hosts, and service providers, including but not limited to Snapology, ASCAP Foundation, Randall’s Island Park Alliance, and other organizations or vendors engaged by Harlem Grown in connection with Summer Camp activities. Such Authorized Parties may photograph, videotape, interview, or otherwise record participants during camp programming, including on-site and off-site activities, on Harlem Grown’s behalf.

I hereby authorize and permit Harlem Grown and its Authorized Parties, without compensation and without further approval, to photograph and/or record my and my child’s image, name, likeness, and the sound of my and my child’s voice during Harlem Grown program activities and special events

If, in the course of participating in Harlem Grown program activities and special events, any original work such as art, music, choreography, poetry, or prose (collectively, “Original Work”) is created by me or my child, I hereby consent to such Original Work being used by Harlem Grown and its Authorized Parties, without compensation and without further approval, solely for non-profit, non-commercial purposes in any and all Media.

I further agree to release and hold harmless Harlem Grown and its Summer Camp, its licensees, agents, assigns, successors, affiliates and designees from any and all claims and liability for damages, losses, or expenses of any sort arising from the making or use of the Material, including, without limitation, claims with respect to the Child’s right to privacy or publicity.

I have read and understood the contents hereof and have the right and authority to execute this Consent and Release, which is governed by the laws of the State of New York.

Consent to Make Referrals and Share Information

Harlem Grown is invested in creating programs and services that support your family and our community. We want to make sure you know about them and make it easy for you to apply.

Why we need your permission
With it, we can:

• send you information about Harlem Grown programs and services you can apply for, and
• share information from your Harlem Grown Participant Application each time you apply.

 

What we share

We’ll only give information to show you qualify or help you enroll in Harlem Grown programs.

 

Who sees your information and how we protect it

Only authorized Harlem Grown staff can see it. We don’t share it with others except to:

• decide if you’re eligible for services,
• enroll you in programs and services, and
• track the results of the services you receive

Camp Drop Off / Pick Up

Location: Drop-off and pick-up will be from our office at 127 W. 127th Street unless otherwise noted.

Hours: Camp hours are from 8:00AM to 4:00PM. Children must arrive NO EARLIER than 8:15AM and must be picked up NO LATER than 4:00PM. Due to our busy activity and field trip schedule, students should be dropped off no later than 9:00 AM and picked up no earlier than 4:30 PM.

On Fridays pick up will be between 3:15-3:45pm.

Terms & Conditions:

Knowing and having been informed of the potential dangers and risks associated with summer camp and in consideration of my child/ward being allowed to participate in the camp, I hereby agree on behalf of myself, my family members and my child/ward to assume all such risks and, further, to waive, release, discharge and hold harmless any camp chosen facility, the Camp Director, Harlem Grown, its Summer Camps and their respective employees, agents, representatives, first responders and volunteers from any and all liability, actions, causes of actions, claims or demands for personal injury, death or property damage of any kind or nature, and any other claims whatsoever arising out of, or in any way connected with, my child’s participation in the above camp. These Terms and Conditions extend to all claims of every kind or nature whatsoever, foreseen or unforeseen, known or unknown. The terms hereof shall serve as an assumption of risk, release and waiver for myself, my family, my child/ward and our heirs, executors, agents and representatives, administrators, guardians or anyone else who might assert a claim on our behalf.

I am aware that the playing, practicing and participation in any activity can be dangerous, involving many risks including serious injury or death. I hereby assume all the risks associated with my child’s participation. I understand that Harlem Grown does not provide medical or accident insurance for camp enrollees.

Disclaimer of liability for lost, stolen or damaged property of myself or my child:

Harlem Grown, its officers, directors, and employees shall not be responsible for clothing, jewelry, cell phones, or other personal possessions that are lost, stolen or damaged.

Acknowledgement of responsibility for property damage by my child:

I understand that I am solely responsible for all expenses related to injuries and/or damage to property incurred in connection with my child’s participation in any Harlem Grown activity.

 

Entire Application Acknowledgement:

I acknowledge that the information I have provided in this application is accurate to the best of my knowledge, and will reach out to Rosa Marruffo, Director of Youth Programs, at rmarruffo@harlemgrown.org if any information about myself or my child changes.