New Haven Counts Parent Application Form - Math and Sports Program Requirement for 2024 and 2025

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Dear New Haven families!

Thank you for your interest in New Haven Counts' summer and/or school year programs. Please complete this form to be eligible for free and reduced rate programming.

This application form is for:

Spring 2025 - Math Tutoring
Summer 2025 - Math and Sports Program

If you are looking for the Night Hoops registration form:

This form satisfies the application requirement for all math tutoring, math program, soccer training, soccer program, and basketball programs for the 2024 and 2025 calendar years.

Disclaimer: New Haven Counts works to de-identify student information in our database wherever possible. We value your privacy and only collect data needed to satisfy City of New Haven and State of Connecticut reporting requirements that keep this services free or subsidized for families!

TEXT our Help Desk at 203-208-9249 if you have specific questions about this application.

Your First Name *

Your Last Name *

Email Address *

Phone Number *

Your Home Address *

Your Home City

Your Home Zip Code *

Race *

Asian

Black (not of Hispanic origin)

Hispanic or Latino

Native Hawaiian or Other Pacific Islander

American Indian or Alaska Native

White (not of Hispanic origin)

Multi-Racial

Other:

Ethnicity *

Hispanic

Not Hispanic

Gender *

Male

Female

Non-Binary

I prefer not to disclose

Family (Household) Size *

Estimate Family Income Level (The State of CT requires us to ask for this information to provide free tutoring) *

Ward of Your Home Address (Leave blank if you do not know this)

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