Ymca Augusta School Day Out Fun Club Enroll Form

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AUGUSTA
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 22, 23
Jan 18
Nov 2, 25
Feb 12, 15
Participants are not required to attend a regular School Age
Dec 23, 28-31
Mar 11
Child Care (SACC) program. However, online KDHE forms
Apr 18
must be completed at , and
a registration form must be received three (3) business
days prior to attendance.
No program offered: 9/18, 10/12, 2/11
Space is limited, and registrations are processed in the order
received. Register in person at any YMCA location (directors
Winter & Spring Break Camp signups available on a separate form
may not accept registrations at SACC or SDO sites).
DROP-OFF & PICK-UP
Full payment is required two (2) working days prior to the day
of camp. Payment is non-refundable, non-transferable.
Andover YMCA, 1115 E US Highway 54
El Dorado YMCA, 300 N Main
A minimum of 10 participants is required to provide all-day
Valley Center 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
Greater Wichita YMCA
$10 SACC Participant
|
$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:
Oct 22
Oct 23
Nov 2
School Name: __________________________________
Nov 25
Parent/Guardian: _______________________________
2016:
Jan 18
Feb 12
Feb 15
Mar 11
Apr 18
Work Phone: ___________________________________
Drop-off Location:
Andover YMCA
(11/25, 1/18, 2/12, 2/15,
3/11)
Home Phone: ___________________________________
El Dorado YMCA
(10/22, 10/23)
VC at West Elementary
(11/2, 4/18)
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:
13SEP 057ANDSEP26

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