Solar Youth Children's Program Fall 2022
Solar Youth is now accepting applications for After School Programs for West Rock and Barnard Nature Center.  Programs will be held at Katherine Brennan (200 Wilmot Rd.) and at the Barnard Nature Center (200 Derby Ave.)

The program is for youth ages 5-13.  The season starts on Monday, January 9th.  Program will run from 3:30-6pm Monday - Thursday.  Friday's will be "Friday Fun Box" that will be reviewed the following Program day.

For any questions, please call the Solar Youth Office at (203) 387-4189
Or reach out via email to either Shannon@solaryouth.org or  Steven@solaryouth.org (203) 560-9937
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Program Site? *
Child's Name *
Birth date *
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Age *
Gender *
Race/Ethnicity *
Primary Language spoken in home *
Primary Phone *
Neighborhood *
Home Address *
Are you an Elm City Communities Resident (Housing Authority of New Haven) *
Is this child on your Elm City Communities LEASE? *
School *
Grade *
Has your child been in Solar Youth before? *
How did you originally hear about Solar Youth *
Legal Guardian *
Guardian's Relationship to Child *
Address (if different from child's)
Guardian Cell Phone/Primary *
Guardian Email Address *
Emergency Contact #1 *
Emergency Contact #1 Relationship to Child *
Emergency Contact #1 Phone Number *
Emergency Contact #2
Emergency Contact #2 Relationship to Child
Emergency Contact #2 Phone Number
Person picking up Youth(s)  *
How many people live in your household? *
What is your Household Income? (Information needed to help keep program costs FREE). *
Youth T-Shirt Size *
Does your child have allergies? *
If your child does have allergies, what are they?
Does your child take any medication? *
If yes, what do they take and for what?
Has your child received the Covid-19 Vaccination? *
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