HARTFORD CITY MISSION
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Noah After-School (Grades 1-5) is a free after-school program emphasizing homework help, Biblically-based character development lessons, & social-emotional support . HCM currently operates NAS sites at our partner churches: Ebenezer Temple & Glory Chapel. Each site is overseen by two staff members who support consistent weekly volunteers. Volunteers work with a group of 3-4 students each day to help with homework & activities.

Nehemiah After-School (Grades 6-8) is a free after-school program that consists of homework help, character development, and social-emotional support for students. Two staff members oversee up to 16 students each day at this after school site which meets at our location on Vine St.
 
Hartford City Mission's After School Sites run from the third full week of September to Memorial Day, from 4:00 - 6:00 PM daily. For more information on our After School Programs please contact our Executive Director Victor J. Rush.​

Fill out the form below to start the registration process for Noah/Nehemiah After School.

    Parent or Primary Guardian Info

    Student Information

    If you have more than one student, you don't have to fill out the whole form multiple times. Once you submit this form for one student, you can click here (this link will pop up after submitting) for additional students.
    Program Attendance
    Our after school programs begin at 4:00pm each afternoon Monday - Friday. Camp starts at 1pm each afternoon Monday - Friday. Young Life is on Tuesdays at 6:30pm. Please fill out the below information for your child accordingly.
    Medical Information
    Please fill out the section below as thoroughly as possible to help us best serve your child.
    School Information
    We do our best to co

    Emergency Contact Information

    List 2 emergency contacts that are not the parent or primary guardian.
    Emergency Contact 1​
    Emergency Contact 2

    Permissions & Agreements

    Prior to your child starting program, you will be asked to sign the following agreements.
    • I give my permission to the school district to release my child's records to Hartford City Mission.
    • I understand my child may be photographed or recorded on video to be used for memorabilia and program promotion. You have my permission to photograph and videotape my child or display samples of his/her work.
    • I understand that my child may need to be transported to various sites within the state of Connecticut for field trips and other programmatic events. Children will only be transported by licensed staff. I give Hartford City Mission staff and/or volunteers permission to transport my child for program activities and release the staff and/or volunteers from any liability.​
    By hitting the submit button below you are acknowledging agreement with the following statements:
    1. I understand that placement in this program is not guaranteed and space is limited.
    2. I understand that in order for a child to have an excused absence, I must inform the program by 3pm.
    3. I understand Hartford City Mission reserves the right to remove students based on conduct and/or attendance.
    4. I understand that I am responsible for my child's transportation to and from program.
    5. I understand that Hartford City Mission's programs use lessons that are Biblically based and my child will be exposed to and participate in Christ-centered activities.
    6. I understand that my registration is not complete until all paperwork has been completed and submitted including a physical dated within the last 2 years.
Submit

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Hartford City Mission, P.O. Box 320397, Hartford, CT 06132-0397  p. 860.246.0132
  • Home
  • About
    • About HCM
    • History
    • Employment
    • Staff
    • The Board
    • Blog
  • Programs
    • All Programs
    • Children (Grds. 1-8) >
      • After School Registration
      • Camp Noah Registration
    • Youth (Grds 9-12) >
      • Young Life Registration
  • Connect
    • Contact Us
    • GALA >
      • 2018 Gala Pictures
      • 2019 Gala Pictures
    • Pray
    • Volunteer >
      • Volunteer Interest Form
  • Donate
    • Donate to HCM
    • HCM Christmas Store
    • Legacy Gifts