This form is to help us plan for the return of After School activities. This form does not guarantee your child's placement for an After School slot. You will be contacted with next steps and an official application upon completion of this document
MICHELLE DELORENZO, PROGRAM DIRECTOR • 347.971.2328 • NIA.IS30K@NIABKLYN.ORG
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MICHAEL A. BOVÉ, PRESIDENT • MARY ANNE CINO, CEO • ROSA CASELLA, EXECUTIVE DIRECTOR
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