Ymca El Dorado School Day Out Fun Club Enroll Form
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1EL DORADO
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.
Oct 16*, 23
Jan 4*, 18*
Nov 25*
Feb 12*, 15*
Participants are not required to attend a regular School Age
Mar 11*, 25
Child Care (SACC) program. However, online KDHE forms
Apr 22, 25
must be completed at , and
a registration form must be received three (3) business
*Camp held at Andover YMCA, 1115 E. US HWY 54
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).
El Dorado YMCA, 300 N Main
Full payment is required two (2) working days prior to the day
Andover YMCA, 1115 E US Highway 54
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:
Oct 16
Oct 23
Nov 25
School Name: __________________________________
2016:
Jan 4
Jan 18
Feb 12
Feb 15
Mar 11
Mar 25
Parent/Guardian: _______________________________
Apr 22
Apr 25
�
Drop-off Location:
El Dorado YMCA
Work Phone: ___________________________________
(10/23, 3/25, 4/22, 4/25)
�
Andover YMCA
(10/16, 11/25, 1/4, 1/18,
2/12, 2/15, 3/11)
Home Phone: ___________________________________
Y Member/District Teacher:
Yes
No
Current SACC Participant:
Yes
No
Email: _________________________________________
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 057ELDOOCT14
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