2024 ConnCAT Summer of Jazz Application
ConnCAT welcomes rising 5th graders, past returning AND new youth up to the 12th grade for an incredible fun-filled summer!  
Parents, please fill out the application CAREFULLY and COMPLETELY.

Note: Completion of the application does not guarantee  acceptance into the summer program. 

PLEASE DO NOT REMIT ANY MONIES UNTIL YOU ARE NOTIFIED OF ACCEPTANCE!

DETAILS
-    MASKS are optional unless new guidelines are given. Families will be updated
-    Program Dates: July  8th--August 16, 2024
-    Hours: Mon - Fri 9:00am- 4:00 pm

-     DO NOT SUBMIT ANY DOCUMENTS UNLESS YOU ARE NOTIFIED OF YOUR CHILD'S ADMITTANCE TO THE           PROGRAM

-    REGISTRATION FEE:  $60 individual/$70 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.
-    Please provide us with ACTIVE & ACCURATE phone numbers and email addresses

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

SUMMER 2023 
APPLICATION OPENING DATE:  MARCH 1, 2024  
APPLICATION REGULAR DEADLINE:  JUNE 7, 2024

Parents will be notified via email of their acceptance.    

Applications received after deadline will be accepted on a rolling admission.


Questions? Contact Steve Driffin (sdriffin@conncat.org) Rachel Graziano (rgraziano@conncat.org)
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Email *
Neighborhood/Community *
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. If not, please add different address below.
Child 2 Address
Street, Unit, City, State, Zip
Grade
 GRADE YOUTH WILL BE DURING 2024-2025 SCHOOL YEAR
5
6
7
8
9
10
11
12
Child 1
Child 2
Age
11
12
13
14
15
16
17
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
Ethnicity/Race
Black or African American
White/Caucasian
American Indian or Alaskan Native
Multi-Racial
Asian/Pacific Islander
Hispanic/Latino/a
Other
Child 1
Child 2
How did you hear about ConnCAT Youth Programs? *
Required
Parent 1 Last Name, First Name *
Parent 1 Street Address  *
Street and (Unit #) City, State, Zip code
City *
Parent 1 Cell Phone Number (Example: (203) 111-1111) *
Parent 1 Work 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, First Name

Parent 2 Cellphone Number (Example: (203) 111-1111)
Parent 2 Work Phone Number (Example: (203) 111-1111)
Parent 2 Street Address (Apt/Floor, City, State, Zip)
If same as Parent 1 address, go to "Parent 2 Email"
Parent 2 Email Address
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