PERSONAL INFORMATION Child’s Name: Grade: School: Address: City: Zip: Person Responsible for Payment: Phone: Cell: PUNCH CARD AGREEMENT Initial I understand that I must complete the YMCA 2018-19 Afterschool Enrollment Packet and submit it along with...April 20th, 2018
FiledApril 20th, 2018Afterschool Site Name: Start Date: Days of Care: □M □T □W □Th □F Bus from (if applicable): End Date: Type of Care:□ Punchcard [10 visits]□ Punchcard [5 visits] Does your family have a YMCA Membership? □ YES □NO Is either parent a school district employee? □ YES □NO