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Southeast Area YMCA Preschool Extended Care Program 12/13 Child's Name: Birth Date: Parent/Guardian : Phone #: Unscheduled Care must be paid for at the time of service if you are not set up for EFT.
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How to fill out extended care registration form

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How to fill out an extended care registration form:

01
Start by carefully reading the instructions provided on the form. Ensure that you understand all the requirements and information that needs to be provided.
02
Begin by providing your personal information, such as your name, address, contact number, and email address. Make sure to double-check the accuracy of the information provided.
03
Fill in the details regarding the child who requires extended care services. Include their full name, age, grade, and any specific instructions or medical considerations that the staff should be aware of.
04
Indicate the specific dates and times for which you require extended care services. This may include before or after school hours, weekends, or holidays, depending on the options provided.
05
Provide emergency contact information, including the names, phone numbers, and relationships of individuals who should be contacted in case of an emergency or if the child needs to be picked up early.
06
If applicable, fill out any additional sections related to transportation arrangements, allergies, dietary restrictions, or authorized individuals who may pick up the child from the extended care facility.
07
Carefully review the information provided before submitting the form. Make sure all the necessary fields are completed accurately and check for any spelling or typographical errors.
08
Sign and date the registration form to confirm that the information provided is correct and complete.
09
Submit the form through the designated method specified, whether it be through email, fax, or in person.
10
It is essential to retain a copy of the completed extended care registration form for your records.

Who needs an extended care registration form?

01
Parents or guardians who require extended care services for their child/children outside of regular school hours.
02
Individuals who need to ensure that their child is supervised and cared for during specific times, such as before or after school, weekends, or holidays.
03
Extended care facilities or school administrations that require complete and accurate information about each child to ensure their safety and well-being while under their care.
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Extended care registration form is a document used to register for extended care services at a facility.
Anyone who wishes to utilize extended care services at a facility is required to file the registration form.
The form can be filled out online or in person by providing personal information, emergency contacts, medical history, and payment details.
The purpose of the form is to collect necessary information to ensure the safety and well-being of individuals using extended care services.
Information such as name, address, phone number, emergency contacts, medical conditions, allergies, and payment information must be reported on the form.
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