ConnCAT Afterschool Program 2021-2022 Application
We are excited to have both new and returning children join us for the school year!
Please note that there will be a $50 required non-refundable registration fee for EACH ADMITTED APPLICANT. ONLY 30-40 APPLICANTS WILL BE ACCEPTED THIS YEAR.
If you cannot meet the registration requirements due to hardship, please respond via email and in the subject line type: "Hardship" followed with an explanation in the body. It will be determined if you qualify for the limited scholarships or sliding scale.

DETAILS
- Program Dates: October 4, 2021-June 10, 2022
- Hours: Mon - Fri 2:30 pm-6:00 pm
- Light snacks will be available. Students may bring personal snacks. No microwaved foods allowed.
- Parents must arrange transportation for pick-up by 5:45pm.
- Non-New Haven students must be dropped off and picked up. Please check with your child's school if bus transportation is available.

APPLICATION GUIDELINES
- Parents/Guardians must submit 1 application per child.

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

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

APPLICATIONS accepted until SEPTEMBER 30TH.
Early Bird application MUST BE submitted by : SEPTEMBER 10, 2021. Parents will be notified via email of their acceptance status by SEPTEMBER 15th. ONLY 30-40 APPLICANTS WILL BE ACCEPTED THIS YEAR.

Questions? Contact Stephen Driffin (sdriffin@conncat.org) or Briana McLean (bmclean@conncat.org) at 203-823-9823 ext 113
Did your child attend the ConnCAT Summer Arts Program 2021 ? *
Child's Last Name *
Child's First Name *
Age *
Date of Birth *
MM
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DD
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YYYY
Gender *
Grade (2021/2022 school year) *
Address-Street, City, State, Zip Code *
Neighborhood *
School Name *
Is your child Hispanic or Latino? *
Ethinicity/Race *
Parent 1 Last Name * *
Parent 1 First Name *
Parent 1 Address *
Street, Unit, City, State, Zip
Parent 1 Daytime Phone Number *
Parent 1 Cellphone Number *
Text messages are a primary form of communication for the after school program.
Parent 1 Email Address *
MUST provide an active email that is checked regularly
Would you like to receive text notifications for emergencies/occasional updates? *
Parent 2 Last Name
Parent 2 First Name
Parent 2 Daytime Phone Number
Parent 2 Cellphone Number
Parent 2 Address
Street, Unit, City, State, Zip
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