CBO Registration Form - Randall's Island Park Alliance

C.B.O. Information
To reserve a place for your organization at Randall’s Island Summer Camp, please fill out and return this form by May 28, 2021.
Organization Name*
Organization Street Address*
Organization Street Address 2
City*
State*
Zip Code*
Office Telephone*
Office Telephone Ext.
Office Fax Number
Cell Phone*
Email*
Registering Person/Title*
Please list your mode of transportation to Camp at Randall’s Island (e.g. school bus, van, on foot, or public transportation – must complete this even if buses have not yet been confirmed):*

Activity Selection
Campers will be rotated throughout all activities, however, we will try to honor your choices whenever possible.
Basketball
Tennis
Volleyball
Kickball
Wiffleball
Soccer
Disc Activities
Nature
Physical Fitness
Dance
Track & Field
Urban Farm
Nature Arts & Crafts
FDNY Tours
Capoeira
Biking
Self-Defense

T-Shirt Sizes
T-Shirt Sizes for Campers
Using the fields below, please indicate how many t-shirts will be needed of each size. Each child and counselor will be given one t-shirt.
Youth Small

Youth Medium

Youth Large

Adult Small

Adult Medium

Adult Large

Adult X-Large

T-Shirt Sizes for Staff
Using the fields below, please indicate how many t-shirts will be needed of each size. Note: Staff t-shirts come in adult sizes only.
Small

Medium

Large

X-Large

XX-Large

XXX-Large

Insurance
In order for your C.B.O. to participate in Summer Camp you must provide RIPA with a Certificate of Insurance evidencing your organization has insurance. This Certificate of Insurance must list Randall’s Island Park Alliance, Inc. and the City of New York as Additional Insureds.
Upload your Certificate of Insurance*
Max. file size: 50 MB.
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C.B.O. REGISTRATION FORM

C.B.O. Information

Camp Session Selection

Activity Selection

T-Shirt Sizes

T-Shirt Sizes for Campers

T-Shirt Sizes for Staff

Insurance

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