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For Office Use Only Staff Initials: Start Date: Schedule: Site: M T W T F Family YMCA of Marion and Polk Counties 20152016 Child Care Registration and Authorization Form Child's First Name DOB Circle:
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How to fill out 2015-16 ymca after school

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How to fill out 2015-16 YMCA after school:

01
Visit the YMCA website or contact your local YMCA branch to obtain the necessary forms for enrollment.
02
Fill out the personal information section, providing your name, address, phone number, and any other required details.
03
Indicate the specific after school program you are interested in, whether it is for elementary school, middle school, or high school students.
04
Provide any emergency contact information, including names, phone numbers, and relationships to the student.
05
If applicable, disclose any medical or behavioral conditions that the YMCA staff should be aware of.
06
Select the days and times you wish to have your child participate in the after school program.
07
Choose any additional services or activities you would like your child to engage in, such as tutoring or sports.
08
Review the YMCA's policies and procedures, ensuring you understand their expectations and guidelines.
09
Sign and date the form, confirming that all the information provided is accurate.
10
Submit the completed form to the YMCA either in person or by mail, following any specific instructions provided.

Who needs 2015-16 YMCA after school:

01
Elementary school students who require afterschool care and enrichment activities while their parents are at work.
02
Middle school students who can benefit from a safe and supervised environment to complete homework and engage in recreational activities.
03
High school students who may need academic support, leadership development, or college preparation resources beyond traditional school hours.
04
Parents or guardians who are unable to provide afterschool supervision or who prefer their child to participate in structured programs that promote personal growth and learning.
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16 YMCA After School is a program provided by the YMCA for children after their regular school hours.
Parents or guardians of children attending the 16 YMCA After School program are required to file.
To fill out 16 YMCA After School, parents or guardians must provide information about the child, emergency contacts, pick up authorization, medical information, and any special instructions.
The purpose of 16 YMCA After School is to provide a safe and enriching environment for children after their regular school hours.
Information such as child's name, age, address, emergency contacts, medical information, pick up authorization, and any special instructions must be reported on 16 YMCA After School.
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