This form should be used to modify or cancel enrollment IF you need change care or your school district is operating in a hybrid model. Ages 33 Months to Four Years. YMCA Child Care Cancellation Form. billing information, holds, downgrades, termination). Please complete the form online. All Rights Reserved. … Exhibit individual and group behavior that models our Core Values of Caring, Honesty, Respect, and Responsibility and that doesn’t disrupt the flow of teaching and learning, Be pleasant to others and refrain from using foul language, Refrain from putting themselves and others in danger, Use equipment, supplies, and facilities as instructed, Have the ability to follow verbal and/or visual direction, Always wear shoes and clothes that conform with the Parent Handbook. This is where YWCA Lake County can help. THE UNDERSIGNED HEREBY RELEASES, WAIVES, DISCHARGES AND COVENANTS NOT TO SUE the YMCA, its directors, officers, employees and agents (hereinafter referred to as “Releasees”) from all liability to the Undersigned for any loss or damage, and any claim or demands therefore on account of injury to the person or property or resulting in death of the Undersigned, which is in any way associated with the Undersigned’s presence in, upon, or about the premises or any facilities or equipment therein, or participation in any program affiliated with the YMCA, without respect to location. I further realize that my account will be automatically re-drafted for any payment of a draft not honored. Please fill out the form and give to your Child Care teacher when needed. Customer Support Services Hours Monday - Friday, 6:00 a.m. - 7:00 p.m. ... (901) 766-7677. Site designed and built by COLAB. State or county assistance Families who are working with a state or county agency that helps cover the cost of Child Care expenses must contact their caseworker about the child’s involvement in our program. School Age Child Care; YMCA Summer Camps; Preschool; Files & Forms; Child Watch/Babysitting; Support the Y; Work at the Y Is able to ambulate on own or with a mechanical device in varied terrains, including, sloped and uneven ground. With our online registration, most of the information we need and are required to have on file was completed during the registration process. Our services connect families to resources for finding, qualifying, and paying for child care and early education programs. Your company's matching gift can change another. All Rights Reserved. CHILD CARE. Jefferson County School-Age Child Care. Each child under 2 years of age shall have an initial health examination not more than 6 months prior to nor later than 3 months after being admitted to the Child Care Center, and a follow-up health … YMCA staff builds relationships, fosters a sense of belonging and creates opportunities for our participants to achieve and learn. Child Care Forms; Child Protection at the YMCA. Refusal to verify identity when asked by YMCA staff. The YMCA offers several child care programs. Is able to perform gross motor functions and fine motor functions with reasonable guidance. When you have completed the forms please return them to the Child Development location with the registration fee. This is in addition to any service fee my bank may charge. The YMCA Board of Directors may, at their discretion, adjust the monthly membership rate applicable to my category of membership. If a sex offender match occurs, the YMCA reserves the right to cancel membership, end program participation, and remove visitation access. Carrying or concealing any weapons or devices or objects that may be used as weapons. Essential Worker Care Virtual Learning Requirements Before/After School Overview Winter/Spring 2021 Information School Breaks Find a School Snow Days Financial Assistance Parent Handbook Forms/Documents Work with Fun Co. As the largest provider of child care in the U.S., the Y has been working diligently throughout the COVID-19 crisis to provide childcare services—following CDC-peer-reviewed health and safety guidelines—to essential workers at … Summer Activities at the YMCA; Summer Forms & Handbooks ... Child Care & Preschool. Child Care Form. Does your child have an allergy or other medical need our staff should be aware of? Interference with respect to the management or operations of the YMCA. Well trained staff provide safe, expert care so parents may have peace of mind while they work. Child Care & Camp Forms; Camp and Child Care Forms. In consideration for being permitted to utilize the facilities, services, and programs of the YMCA for any purpose, including but not limited to observation or use of facilities or equipment, or participation in any program affiliated with the YMCA, without respect to location, for himself or herself as well as on behalf of any individuals included on this program registration and any personal representatives, heirs, and next of kin (the “Undersigned”), the Undersigned hereby acknowledges, agrees and represents that the Undersigned has, or will immediately upon entering or participating, inspect and carefully consider such premises and facilities or the affiliated program. Child Care Form Susan Mulholland 2020-03-16T18:42:13-04:00. At the YMCA we believe your child should have a safe, fun, caring, and stimulating environment … * Failure to notify YMCA that child will be absent. Fill out the form below or give us a call and we will get back with you shortly. Before completing the online membership process, please review our membership terms. Bridging child care g… I understand that when payment is made by check, the YMCA of Greater Richmond is authorized to use the information from my check to initiate a one-time Electronic Funds Transfer from my bank account. I understand that when payment is made by check, the YMCA of Greater Richmond is authorized to use the information from my check to initiate a one-time Electronic Funds Transfer from my bank account. I understand that membership allows me access to all locations in the YMCA of Greater Richmond association, and that the price of my membership is based on the location I selected and intend to use the most. Disclosure of special needs will not bar participation. We look forward to hearing from you. The YMCA reserves the right to deny access or membership to any person who has been accused or convicted of any crime involving violence, sexual abuse or behavior, is a registered sex offender, has ever been convicted of any offense relating to the use, sale, possession, or transportation of narcotics or habit forming and/or dangerous drugs, is under the influence (whether currently or habitually) of narcotics, chemicals, intoxicating beverages and/or habit forming or dangerous drugs, or whose behavior does not conform to this Member Code of Conduct. For an additional charge, you can drop off your child as early as 7:00 AM and pick up as late as 6:00 PM. billing information, holds, downgrades, termination) require 7 days written notice before my next draft date. If you have already canceled or modified your before and after care, you do not need to complete this form. YMCA Child Care As the largest not-for-profit provider of child care in Canada and with nearly 40 years of experience, the YMCA of Northern BC offers high-quality child care programs for infants, toddlers, preschool and school aged children. Physical contact with another person in any angry or threatening way. It is further warranted that such entry into the YMCA for observation or use of any facilities or equipment or participation in such affiliated program constitutes an acknowledgment that such premises and all facilities and equipment thereon and such affiliated programs have been inspected and carefully considered and that the Undersigned finds and accepts same as being safe and reasonably suited for the purpose of such observation, use, or participation. (Revised 10/2017). Last. For detailed information about program fees, use the “Find a Y” tool to locate the YMCA Child Care centre at which you plan to request care. Please complete each form to the best of your ability. Ages Served. OUR MISSION: We put Christian principles into practice through programs that build a healthy spirit, mind and body for all. The YMCA now houses two different facilities to meet the diverse needs of the community. The Undersigned hereby assumes full responsibility for and risk of bodily injury, death, or property damage which is in any way associated with the Undersigned’s presence in, about, or upon the premises of the YMCA and/or while using the premises or any facilities or equipment thereon or participating in any program affiliated with the YMCA. (6 weeks - 18 mos) Toddler (18 mos - 3 years) Preschool (3 - 5 years) Before and After School Care (Kindergarten - 8th Grade) If you have any other questions or concerns, please contact [email protected] Health Form | Complete one form per child. ... MORE INFO COMING 2019-2020 | PLEASE DOWNLOAD ALL FORMS 2019-2020 Enrollment Packet Request for administration of medicine for CC | JFS 01217 Child enrollment and health information for CC | JFS 01234 Child medical physical care plan for CC | JFS 01236 Our trained and certified staff work with our participants in large group settings (within licensing standards). If you would like to register your child for Camp CARE for dates between 11/4 - 11/30, please contact Patti, SLO County YMCA Program Enrollment, at pflores@sloymca.org. Camp CARE for South SLO County. We hope to provide services that meet you and your child's needs. Other requirements may apply for unique features at some of our facilities, like challenge courses. I am at least 18 years of age and legally able to enter into this agreement. I understand that all membership fees are non-refundable. I further understand that these funds may be withdrawn from my account as soon as the day after the YMCA receives my check, that I will not receive my check back from my financial institution, and that I am responsible for any return fees applied should my back not honor the EFT debit. Full Day Care; Child Care Billing Forms. We’ve got you covered! We care about your privacy and will never sell or give your email address to anyone. Emergency Child Care for Essential Workers. Any other conduct of an inappropriate, threatening or offensive nature. 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