Winter Break Camp Registration Form
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1WINTER BREAK CAMP
AGES
REGISTRATION INFORMATION
Kindergarten - Age 12
The YMCA offers licensed day camps for children when school is
not in session, excluding major holidays. Each School Day Out
DATES
(SDO) Winter Break Camp features a variety of fun, educational
December 21
December 28
and physical activities.
December 22
December 29
Participants are not required to attend a regular School Age
December 23
December 30
Child Care (SACC) program. However, online KDHE forms
December 31
(until 4pm)
must be completed at , and
a registration form must be received seven (7) days
CLOSED Dec 24-25 & Jan 1
prior to attendance.
DROP-OFF & PICK-UP
Space is limited, and registrations are processed in the order
Locations:
received. Register in person at any YMCA location (directors
Andover YMCA, 1115 E US Hwy 54
may not accept registrations at SACC or SDO sites).
North YMCA, 3330 N Woodlawn
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.
South YMCA, 3405 S Meridian
A minimum of 10 participants is required to provide all-day
care. If 10 children do not enroll, parents/guardians will be
Time:
notified no less than two (2) days prior to day camp.
6:30am/6:00pm
(except 12/31, as noted above)
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
Greater Wichita YMCA
1-3 days per week: $60 for any participant
|
4-5 days per week: $100 for any participant
ACTIVITIES & WHAT TO BRING
Your kids will enjoy a variety of fun holiday-oriented activities.
Bring (daily): Lunch in an insulated bag labeled with child’s
name, swimsuit and towel.
ENROLL FOR WINTER BREAK CAMP AT THE YMCA
Choose 1-3 days per week: $60 for any participant
Child’s Name: __________________________________
or 4-5 days per week: $100 for any participant
Andover YMCA
Week 1:
Age: _____
Grade: _____
Gender: _____
December 21
12/21
12/22
12/23
Wk 1:
December 22
Wk 2:
12/28
12/29
12/30
12/31
School Name: __________________________________
December 23
CLOSED Dec 24 & 25
North YMCA
Parent/Guardian: _______________________________
12/23*
Wk 1:
Wk 2:
12/28
12/29
12/30
12/31
Week 2:
December 28
Work Phone: ___________________________________
Northwest YMCA
December 29
12/21
12/22
12/23
Wk 1:
December 30
Home Phone: ___________________________________
12/28
12/29
12/30
12/31
Wk 2:
December 31
(until 4pm)
CLOSED Jan 1
South YMCA
Email: _________________________________________
Wk 1:
12/23*
12/28
12/29
12/30
12/31
Wk 2:
List any allergies for child:
*USD259 students attending at North or South YMCA Winter Break Camp on 12/23 will
pay only $20 for that day.
_____________________________________________
_____________________________________________
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: 14DEC 057NWDEC22
14DEC 057USDDEC22N
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