Ymca Valley Center School Day Out Fun Club Enroll Form
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1VALLEY CENTER
SCHOOL DAY OUT FUN CLUB
AGES
REGISTRATION INFORMATION
Kindergarten - Age 12
The YMCA offers licensed child care for students when school
is not in session, excluding major holidays. Each School Day
DATES
Out (SDO) Fun Club features a variety of fun, educational and
2015
2016
physical activities.
Sept 28
Jan 4*, 18*
Oct 15, 16
Feb 15
Participants are not required to attend a regular School Age
Nov 2, 25*, 30
Mar 25
Child Care (SACC) program. However, online KDHE forms
Apr 15, 18
must be completed at , and
a registration form must be received three (3) business
*Camp held at Northwest YMCA, 13838 W 21st N
days prior to attendance.
Winter & Spring Break Camp signups available on a separate form
Space is limited, and registrations are processed in the order
received. Register in person at any YMCA location (directors
DROP-OFF & PICK-UP
may not accept registrations at SACC or SDO sites).
Valley Center West Elementary, 501 N Sheridan
Full payment is required two (2) working days prior to the day
Northwest YMCA, 13838 W 21st N
of camp. Payment is non-refundable, non-transferable.
6:30am/6:00pm
A minimum of 10 participants is required to provide all-day
CONTACT
care. If 10 children do not enroll, parents/guardians will be
notified no less than two (2) days prior to day camp.
Jon McReynolds, 264-1610 ext. 5535
Late registrations are assessed a $10 per day late fee. All late
registrations must be pre-approved by Jon McReynolds at
COST PER DAY
264-1610 ext. 5535 and will be based on availability.
$10 SACC Participant
NOTICE: All persons authorized to pick up a child must be
$15 for YMCA Member/District Teacher
prepared to show identification (no exceptions).
$25 for Community Participant
Greater Wichita YMCA
ACTIVITIES & WHAT TO BRING
|
Include your email below to receive specific information.
Child’s Name: __________________________________
Enroll for the following dates (check all that apply):
Winter & Spring Break Camp signups available on a separate form
Age: _____
Grade: _____
Gender: _____
2015:
Sep 28
Oct 15
Oct 16
Nov 2
Nov 25
Nov 30
School Name: __________________________________
2016:
Jan 4
Jan 18
Feb 15
Parent/Guardian: _______________________________
Mar 25
Apr 15
Apr 18
Work Phone: ___________________________________
Drop-off Location:
Valley Center West Elementary
(9/28, 10/15, 10/16, 11/2, 11/30, 2/15 3/25, 4/15, 4/18)
Home Phone: ___________________________________
NW YMCA
(11/25, 1/4, 1/18)
Email: _________________________________________
Y Member/District Teacher:
Yes
No
Current SACC Participant:
Yes
No
Community Participant:
Yes
No
List any allergies for child:
_____________________________________________
_____________________________________________
OFFICE USE ONLY: PROGRAM CODES
All SACC accounts must be current to participate. Complete SACC enrollment packet
_____________________________________________
must be on file. Sample codes will follow this format: 13OCT 057VCWOCT20
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