2023-2024 MCYC Afterschool Program Registration
Students in Grades K-6 during 2023-2024 school year
Monday – Friday
3:30 p.m. – 5:30 p.m.

The first day of the fall program will be August 24, 2023. 

Youth will have the opportunity to participate in homework help, recreational games, team building exercises, community service-learning projects, library time, arts & crafts, music and drama activities, science experiments and special field trips all while hanging out the friends and having fun!

The program is housed in the basement of the CCFBank in Mondovi. Hours are 3:30 p.m. to 5:30 p.m., Monday through Friday. On Wednesday early release days, MCYC is open at 3:15pm. The weekly fee is $25 per student. Planned school weeks with less than five days per week will be prorated. The program may be closed any day or time (planned or unplanned) that the Mondovi School District is closed, including snow days, early release (not weekly Wednesdays) or energy related closings. There will be opportunities to MCYC on late starts, early releases, and snow days when staff is available. A $10 per half-hour late fee is assessed when a student remains after 5:30 p.m. The fee must be paid at the time of the parent/guardian arrival. If a student is not picked up one-half hour after the close of the program the stall will contact the Buffalo County Sheriff's Department.

Parents/Guardians will be billed for program based on this contract regardless of attendance. All fees are due the first day of each month, but can be paid more frequently. The first payment is due no later than August 24, 2023. Failure to pay will jeopardize children’s participation in the program.

Afternoon snacks are provided daily.

An additional one per academic year enrollment fee of $10 is required for insurance purposes, and must be paid at the time of enrollment. Please make all checks payable to MCYC. Payment of $35 (equal to one week's fees and enrollment fee) must be returned to MCYC, c/o CCFBank, 203 E Main St., Mondovi, WI 54755 by August 24, 2023. Students are served on a first-enrolled and paid, first served basis. Limited student spots may exist.

Please note: Final enrollment including health form must be completed via 4HOnline software before student may participate in programming. You will receive more information about how to complete this enrollment via email.

*Scholarships and financial payment plans may be available for those in financial need upon request and review. Please contact use the space below to make a request. 
Sign in to Google to save your progress. Learn more
Email *
Parent/Guardian Name: *
Student First and Last Name *
Student Current Grade in School *
What days of the week will your child(ren) be attending MCYC Afterschool? *
Required
Contact Day Phone for Registration Purposes: *
Would your family use MCYC on planned or unplanned late start, early release, or snow days? The cost for half days would be approximately $10 per student and full days would be approximately $25 per student.  *
If MCYC offered before school option from roughly 6:30am-7:30am at a cost of $5 per student, would your family participate? *
Please provide any additional information or comments MCYC staff should know about your registration. If requesting a partial scholarship or financial payment plan, please write a brief explanation of need below.
An EEO/AA employer, University of Wisconsin-Madison Division of Extension provides equal opportunities in employment and programming, including Title VI, Title IX, the Americans with Disabilities Act (ADA) and Section 504 of the Rehabilitation Act requirement.
  Please make requests for reasonable accommodations to ensure equal access to educational programs as early as possible preceding the scheduled program, service, or activity. For communicative accommodations in languages other than English, please contact oaic@extension.wisc.edu. For communicative accommodations based on a disability, please contact Heather Lipinski Stelljes at: heather.stelljes@wisc.edu for the public  
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of UW-Madison Google Workspace. Report Abuse