Ymca Renwick School Day Out Fun Club Registration Form

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RENWICK
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.
Nov 25
Jan 4, 18
Feb 15
Participants are not required to attend a regular School Age
Mar 25
Child Care (SACC) program. However, online KDHE forms
Apr 18
must be completed at , and
a registration form must be received three (3) business
No program offered: 9/21, 10/9, 11/23, 11/24, 1/5, 2/12, 3/28
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).
Goddard Explorer Elementary, 444 S 167th St W
Full payment is required two (2) working days prior to the day
Maize Elementary, 305 W James
of camp. Payment is non-refundable, non-transferable.
Northwest YMCA, 13838 W 21st N
South YMCA, 3405 S Meridian
A minimum of 10 participants is required to provide all-day
Valley Center at West Elementary, 501 N Sheridan
care. If 10 children do not enroll, parents/guardians will be
6:30am/6:00pm
notified no less than two (2) days prior to day camp.
Late registrations are assessed a $10 per day late fee. All late
CONTACT
registrations must be pre-approved by Jon McReynolds at
Jon McReynolds, 264-1610 ext. 5535
264-1610 ext. 5535 and will be based on availability.
NOTICE: All persons authorized to pick up a child must be
prepared to show identification (no exceptions).
COST PER DAY
$10 SACC Participant
Greater Wichita YMCA
$15 for YMCA Member/District Teacher
|
$25 for Community Participant
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:
Nov 25
School Name: __________________________________
2016:
Jan 4
Jan 18
Feb 15
Mar 25
Apr 18
Parent/Guardian: _______________________________
Drop-off Location:
Northwest YMCA
(11/25, 1/4, 1/18)
Goddard Explorer
(3/25)
Work Phone: ___________________________________
South YMCA
(2/15, 4/18)
VC at West Elementary
(2/15, 3/25, 4/18)
Home Phone: ___________________________________
Y Member/District Teacher:
Yes
No
Email: _________________________________________
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: 13SEP 057ANDSEP26

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