We’re excited you’re interested in Music Haven!

Have you read through our Program Expectations and Eligibility? *

Yes

No

Eligibility is based on need. To enroll, students must meet FOUR or more of the following criteria (Check all that apply) *

Household that qualifys for certain federal benefits based on family income/family size (HUSKY, TANF, SNAP, Section 8 Vouchers)

We live in one of the following neighborhoods: 
Newhallville, Dwight, the Hill, Fair Haven, West River, West Rock, Dixwell, Amity, or Prospect Hill

My child attends a New Haven Public School or a New Haven charter school?

Not enrolled in another intensive (multi-day) after-school program

Not enrolled in other one-on-one music lessons

One or both parents did not attend college or were first-generation college students

Single parent household

Family member already enrolled in Music Haven

Parent/Caregiver Name *

First Name

Last Name

Parent/Caregiver Phone # *

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Student Name *

First Name

Last Name

Student Date of Birth *

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DD

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