Ymca Circle School Day Out Fun Club Enroll Form

ADVERTISEMENT

CIRCLE
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 19
Feb 12, 15
Participants are not required to attend a regular School Age
Nov 25
Mar 25
Child Care (SACC) program. However, online KDHE forms
Apr 22
must be completed at , and
a registration form must be received three (3) business
No program offered 10/29, 10/30, 3/4, 3/28
days prior to attendance.
Winter & Spring Break Camp signups on a separate form
Space is limited, and registrations are processed in the order
received. Register in person at any YMCA location (directors may
DROP-OFF & PICK-UP
not accept registrations at SACC or SDO sites).
Andover YMCA, 1115 E US Highway 54
Full payment is required two (2) working days prior to the day of
El Dorado YMCA, 300 N Main
camp. Payment is non-refundable, non-transferable.
North YMCA, 3330 N Woodlawn | South YMCA, 3405 S Meridian
A minimum of 10 participants is required to provide all-day care.
Valley Center West Elementary, 501 N Sheridan
If 10 children do not enroll, parents/guardians will be notified no
6:30am/6:00pm
less than two (2) days prior to day camp.
CONTACT
Late registrations are assessed a $10 per day late fee. All late
Jon McReynolds, 264-1610 ext. 5535
registrations must be pre-approved by Jon McReynolds at
264-1610 ext. 5535 and will be based on availability.
NOTICE: All persons authorized to pick up a child must be
COST PER DAY
prepared to show identification (no exceptions).
$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 on a separate form
Age: _____
Grade: _____
Gender: _____
2015:
Sep 28
Oct 19
Nov 25
School Name: __________________________________
2016:
Jan 4
Feb 18
Feb 12
Parent/Guardian: _______________________________
Feb 15
Mar 25
Apr 22
Work Phone: ___________________________________
Drop-off Location:
El Dorado YMCA
(3/25, 4/22)
Andover YMCA
(11/25, 1/4, 1/18, 2/12, 2/15)
Home Phone: ___________________________________
North/South YMCA
(10/19, 11/25, 1/4, 1/18, 2/15)
Valley Center West Elementary
(9/28, 3/25)
Email: _________________________________________
Y Member/District Teacher:
Yes
No
Current SACC Participant:
Yes
No
List any allergies for child:
Community Participant
Yes
No
_____________________________________________
_____________________________________________
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 057ELDOCT14

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Business
Go