Fall Registration YMCA After School Program 2020-2021 - Now open to the Community*
*FILLING OUT THIS FORM DOES NOT GUARANTEE REGISTRATION in the Y After School program. If the program is full at the site you select you will be put on a waiting list. Someone from our Welcome Center staff will call you to complete the registration process or inform you if you are on the wait list. There will be a $25 non refundable charge to hold your child's spot for next fall.
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Email *
Parent/Guardian First Name
Parent/Guardian Last Name
Parent/Guardian Phone Number
Parent/Guardian Email Address
Are you currently a member of the Wood River YMCA?
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Child's First Name
Child's Last Name
Child's Date of Birth
MM
/
DD
/
YYYY
Please select your child's attendance type
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If 3 days a week, what three days would you like?
Select your After School Program site
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Rate Plans
Submit
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