Lighthouse Registration Forms 2022-2023

Due to the Coronavirus Pandemic (Covid-19), the main office of the Lighthouse Program & Youth Services will remain closed to the public with minimal exceptions. Fillable applications are available on this site and all services that the department provides will continue via email or through phone calls. In person Lighthouse programming at all 24 schools is currently available. For immediate assistance, please call (203) 576-7252.

Registration Forms 2022-2023 New Submission Policy

Forms will be accepted at each site. Preference will be given to current Lighthouse students on day one of registration. Registration is preferred in person at all sites. Fillable forms should be opened in adobe for easiest access. For any questions, please find site coordinators email information for your student's school below:

(Before School Program will be offered at the following schools ONLY)

1. Black Rock
2. Blackham
3. Cesar Batalla 
4. Discovery Magnet
5. Geraldine Johnson
6. Hallen
7. John Winthrop

Please follow the steps to apply.

1. Click on the appropriate form and fill out (forms are fillable PDFs).
2. Once completed download and save a copy to your computer.
3. Send the downloaded form by attaching it to your email to your School & School Site Coordinator. Please refer to the list below for your school.