Solar Youth Children's Program Spring 2021
Solar Youth is now accepting applications for After School Programs at West Rock and Eastview Terrace.  

The program is for youth ages 5-13.  This season started at Hybrid but is now In-Person at the Solar Youth Office.  Program runs from 4-6pm Monday - Friday.

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 *
Required
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) for In-Person Program? (Answer "N/A" if only doing Virtual Program) *
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?
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