Afterschool Waitlist Form 
This form is your formal request to have your child added to the YMCA Afterschool Program waitlist. This is not registration for admittance. Y Afterschool staff will contact you when your child is eligible for admittance. 
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Today's Date *
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Name of Child (First and Last)  *
Child's Gender  *
Child's Current School *
Name of Parent(s) (First and Last)  *
Phone Number  *
Child's Date of Birth  *
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Child's Current Grade *
What days will you need afterschool care? Check all that apply.  *
Required
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