Summer Program 2021 Registration
Ages 5 & Up • Pre-registration is required to attend Foote Summer Program. We will not accept walk-ins.
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Email *
Indicate Your Selections below (Please complete a new form for each child).
Cohorts will be by age in groups of 10. Please note registration will not be complete until your $200 non-refundable deposit is received.
Late Summer Adventures
Monday
Tuesday
Wednesday
Thursday
Friday
Aug.16-20
Program Fee: $500 per week, $100 per day ($400 for week of 6/28)
Applicant Information
Applicant's Name *
Date of Birth *
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Grade in September *
Present School *
Parent or Guardian Name *
Home Phone *
 Cell Phone *
Street Address *
City *
State *
Zip *
Emergency Contact *
Emergency Contact Phone *
Camp Medical Form
Note: All participants must submit a copy of a camp medical form, signed and dated by a physician, including immunization information. This must be updated every three years. Your physician can supply this form or you can request one from us.
Does your child have any medical concern? *
I give permission for my images of my child to be used for school-generated publicity during his/her enrollment at The Foote School. *
Tuition and Payment
Registration is not complete until $200 non-refundable deposit is received. Please mail check to Foote School Summer Program, 50 Loomis Place, New Haven, CT 06511. Tuition balance for both programs is due on or before the first day of the program.
A copy of your responses will be emailed to the address you provided.
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