Fremont Newark Ymca Summer Child Care Registration Form (Page 2 of 2) in pdf

FREMONT/NEWARK YMCA

Y-KIDS SUMMER CHILD CARE

REGISTRATION FORM/CONTRACT

YMCA of the East Bay Y-Kids School Year Program is for children entering Kindergarten through 6

grade.

The YMCA Parent Handbook serves as a part of this

Refunds subject to $25.00 processing fee.

Admission Agreement. Please understand that it is

Daily drop-ins are only available during the Winter

your responsibility to read and understand the

Break and Spring Break, you register per week for

policies set forth in the Parent Handbook.

summer.

A basic annual membership fee of $40 or $60 for a family

Please understand that by signing this contract you

membership is required for enrollment in all YMCA

authorize your child’s participation in any field trip

programs. A $40/child registration or fee is due upon both

activity planned as part of the program. We will notify

enrollment and re-enrollment.

THESE FEES ARE

you in advance of these plans.

NONREFUNDABLE.*

The YMCA will provide a 30 day written notice in

An Electronic Funds Transfer (EFT) may be automatically

advance of fee changes or operational hours.

drafted from your bank account (checking, savings, and

credit card) on the 15

of the month prior to service. If

We periodically take pictures of participants in YMCA

your credit card is declined or bank draft is rejected, a $25

programs/ activities. Please understand that these

service charge will be applied to your account.

pictures may be displayed, used in fliers, brochures,

videos, or other YMCA promotional material. If you prefer

Be sure your member number or your child’s full name

your child’s picture not be used in any of the above,

and school are on all payments. Postdated checks are

please inform Kelly Dulka, Executive Director, in

not accepted.

writing.

Questions regarding fees, plan changes, payments, etc.

Additional Services: At times, the YMCA will

should be directed to the main office at 41811 Blacow Rd.,

provide additional services to children in the

Fremont, CA 94538, 510-657-5200. All changes and

childcare centers. These services may take the

cancellations require a two week written notice given to

form of a food program, youth sports league,

your Y-Kids site director.

enrichment course, or similar program.

A late fee of $40

(limited to $40 per family) will be

Community Care Licensing Agency shall have the

assessed for payments received after the 25

. After the

authority to interview children or staff and to

last day of the prior month of service, if payment has not

inspect and audit child or facility records without

been received, childcare services may be suspended.

prior consent. The license shall make provisions

Returned checks are considered late payments and a $40

for private interviews with any children or staff

fee will be assessed. Checks that have been returned on

members and for the examination of all records

two different occasions will require that future payments

relating to the operation of the child care center. The

be in the form of a money order or cashier’s check.

department has the authority to observe the physical

condition of the child(ren), including conditions that

Financial assistance is available for families that qualify.

could indicate abuse, neglect, or inappropriate

Funds are limited and are based on a first-come, first-served

placement. (Community Care Licensing-Department

basis. Contact your local business office more information.

of Social Services 510 622 2602)

Tuition is based on enrollment NOT attendance.

The YMCA may terminate this contract if the program

There are no adjustments for non-attendance,

does not meet the needs of the children, if payments

partial week attendance, or personal vacations.

are not made as agreed, children or parent do not

Refund conditions: Refunds/prorates cannot be granted for

follow the YMCA Child Care Policies, including YMCA

absences due to illness or vacation. When you enroll, you

Behavior Standards or there are three (3) or more late

are reserving time, space, staffing and provisions, whether

pick-ups.

or not your child attends. Refunds will be given for

The YMCA of the East Bay is a non-profit organization.

overpayment of fees or paid time after your two-week

Our Federal Tax ID # is 94-1156317.

cancellation notice has elapsed. Refunds will not be given if

your child is suspended or terminated from the program.

Fremont Newark Ymca Summer Child Care Registration Form Page 2

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