2022-2023 ConnCAT After School Program Application
We are excited to open our doors again for the ConnCAT After School Program this fall. We made it through an amazing summer and look forward to a great school year.  We welcome both new and returning youth between grades 5-11 for a series of classes and fun!  Please fill out the application carefully.

Note: Completion of the application does not indicate acceptance to the after-school program.

DETAILS
-    MASKS are optional unless new guidelines are given. We will keep families updated
-    Program Dates: October 3, 2022 -June 9, 2023
-    Hours: Mon - Fri 2:30pm- 6:00 pm
-    Snacks will be provided by the New Haven Food Service Department; however, youth may bring their own.
-     DO NOT SUBMIT ANY DOCUMENTS UNLESS YOU ARE NOTIFIED OF YOUR CHILD'S ADMITTANCE TO THE           PROGRAM

-    ALL STUDENTS SHOULD BRING REFILLABLE, PERSONAL WATER BOTTLES. WE WILL NOT PROVIDE.
-    Parents must arrange transportation for drop-off/pick-up if your child does not attend New Haven School.

-    REGISTRATION FEE:  $50 individual/$60 siblings: Please DO NOT remit any monies until your child is          officially admitted into the program

APPLICATION GUIDELINES:
-    Parents/Guardians must submit one (1)  completed application. Incomplete applications will be waitlisted.
-    Be certain that you want your child to participate in the program.
-    We understand that children may be involved in extracurricular activities; please inform us if this applies to          your child.    
-     Please ENSURE THAT THE APPLICATION IS ACCURATE.  Inaccurate information may cause your child not           to be admitted.

-    Our program heavily relies on text and email to contact parents. Please provide us with ACTIVE phone                 numbers and accurate email addresses that you check regularly.

-    Please click on "SUBMIT" at the very end of the online form to ensure delivery.

FALL 2022 
APPLICATION OPENING DATE:  AUGUST 26, 2022.  
APPLICATION REGULAR DEADLINE:  SEPTEMBER 14, 2022

Parents will be notified via email of their acceptance status by September 16, 2022.    

Applications received after September 16th will be accepted on a rolling admission until 
EXTENDED DEADLINE: NOVEMBER 11, 2022

SPRING 2023 
APPLICATION OPENING DATE: JANUARY 3, 2023.
Application Regular Deadline: January 23, 2023  

Parents will be notified via email of their acceptance status by January 27, 2023

Applications received after January 23th will be accepted on a rolling admission until
EXTENDED DEADLINE: MARCH 10, 2023


Questions? Contact Steve Driffin (sdriffin@conncat.org
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Email *
Does your child have a sibling applying for the Fall  2022-2023 AFTER SCHOOL Program? *
Required
Child's Name *
Child 1
Child's Name
Child 2
Child 1 Address *
Street, Unit, City, State, Zip
Is address is the same for all children? *
If yes, skip to GRADE.
Child 2 Address
Street, Unit, City, State, Zip
Grade
 GRADE YOUTH WILL BE DURING 2022-2023 SCHOOL YEAR
5
6
7
8
9
10
11
Child 1
Child 2
Age
11
12
13
14
15
16
Child 1
Child 2
Child 1 School Name *
Child 2 School Name
Child 1 Date of Birth *
(MM/DD/YYYY)
Child 2 Date of Birth
(MM/DD/YYYY)
MM
/
DD
/
YYYY
Gender
Female
Male
Child 1
Child 2
Do you consider your child to be Hispanic or Latino?
Yes
No
Child 1
Child 2
Ethinicity/Race
Black or African American
White/Caucasian
American Indian or Alaskan Native
Multi-Racial
Asian/Pacific Islander
Other
Child 1
Child 2
How did you hear about ConnCAT Youth Programs? *
Required
Parent 1 Last Name *
Parent 1 First Name *
Parent 1 Street Address *
Street and (Unit #)
City *
Parent 1 Cell Phone Number (Example: (203) 111-1111) *
Parent 1 Daytime Phone Number (Example: (203) 111-1111)
Would you like to receive text notifications for emergencies/occasional updates? *
Remind 101 is a free text message system and is our primary form of mass communication during the summer program. You will NOT be enrolled automatically, but will need to follow a set of instructions on your phone to be enrolled once your child has been admitted to the program.
Parent 2 Last Name
Parent 2 First Name
Parent 2 Cellphone Number (Example: (203) 111-1111)
Parent 2 Daytime Phone Number (Example: (203) 111-1111)
Parent 2 Street Address
Street and (Unit#)
City
Zip Code
Parent 2 Email Address
Next
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