Ymca Usd 259 School Day Out Fun Club Enroll Form
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1USD 259
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 8
Jan 4, 15, 18
Participants are not required to attend a regular School Age
Oct 16, 19
Feb 15, 16
Nov 11, 25
Mar 10, 11
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
Winter & Spring Break Camp signups available on a separate form
days prior to attendance.
DROP-OFF & PICK-UP
Space is limited, and registrations are processed in the order
North YMCA, 3330 N Woodlawn
received. Register in person at any YMCA location (directors
may not accept registrations at SACC or SDO sites).
South YMCA, 3405 S Meridian
6:30am/6:00pm
Full payment is required two (2) working days prior to the day
of camp. Payment is non-refundable, non-transferable.
CONTACT
A minimum of 10 participants is required to provide all-day
Jon McReynolds, 264-1610 ext. 5535
care. If 10 children do not enroll, parents/guardians will be
notified no less than two (2) days prior to day camp.
COST PER DAY
Late registrations are assessed a $10 per day late fee. All late
registrations must be pre-approved by Jon McReynolds at
$10 SACC Participant
264-1610 ext. 5535 and will be based on availability.
$15 for YMCA Member/District Teacher
NOTICE: All persons authorized to pick up a child must be
$25 for Community Participant
prepared to show identification (no exceptions).
ACTIVITIES & WHAT TO BRING
Greater Wichita YMCA
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:
Sept 8
Oct 16
Oct 19
School Name: __________________________________
Nov 11
Nov 25
2016:
Jan 4
Jan 15
Jan 18
Parent/Guardian: _______________________________
Feb 15
Feb 16
Mar 10
Mar 11
Apr 15
Apr 18
Work Phone: ___________________________________
Drop-off Location:
North YMCA
South YMCA
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: 13OCT 057USDOCT5E
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