summer programs reservation form 2015 - ymca of...
TRANSCRIPT
Additional forms are available from your local Y, by visiting ykids.org, or you may photocopy this form. Please print. All deposits and payments will be credited to your family’s summer program fees. Deposits are transferable and may be used by other family members, or for other programs. For your convenience, any remaining payments may be charged to your credit card, bank account, etc. Please check below to authorize the most convenient payment method. Additional forms and medical history information will be required before each child begins.
Questions? Bellevue Family YMCA (425) 746-9900
Coal Creek Family YMCA (425) 282-1500Regional Offices (425) 644-8417
Sammamish Family YMCA (425) 391-4840Snoqualmie Valley YMCA (425) 256-3115
[email protected], no phone reservations accepted.
Y Summer Program dates may be affected by school calendar changes due to unexpected weather or emergency situations. Please call your local Y or visit ykids.org for updated schedules.
Additional Registration Information. You will be mailed or given additional forms to complete your child’s registration, which must be returned prior to your child’s start. For your convenience, remaining payment will be charged automatically to the card or checking account used for deposit Sunday before camp. Please contact your Y office if you need to make other arrangements. Refunds. For cancellations, we require written notice Thursday before the start of the session. Refunds for cancellations will first be applied to future camp weeks in 2015. If no balance exists for future camp weeks, a refund will be processed to the original payment method. Your deposit is non-refundable, but can be transferred and used for other YMCA programs.
PAYMent MetHoD
Visa MasterCard Discover American Express
Credit Card # Expiration Date (month/year)
Cardholder’s Signature Date
Parent / Guardian
Home Phone Work Phone
( ) ( )Parent / Guardian date of Birth (used for identification purpose only)
/ / / (month / date / year)
Mailing Address
City
State Zip
Parent / Guardian Signature
Bellevue Family YMCA14230 Bel-Red Rd, Bellevue, WA [email protected]
Coal Creek Family YMCA13750 Newcastle Golf Club RdNewcastle, WA [email protected]
Regional Offices13750 Newcastle Golf Club RdNewcastle, WA [email protected]
Sammamish Family YMCA4221 228th Ave. SEIssaquah, WA [email protected]
snoqualmie Valley YMCA35018 SE Ridge StreetSnoqualmie, WA [email protected]
senD or e-MAil DePosit ForM AnD PAYMent to:
reserVe Your sPACe!Choose your child’s sessions. If you are enrolling more than one child, either photocopy the form or call your local branch for an additional copy. Reservation forms are also available on our website at ykids.org.
Enter a $15 deposit for each session your child will attend. If you are reserving space for more than one child, enter $15 per session for each child.
Complete the deposit form below. Deposit amount should match the total on the session form, reverse side.
To reserve your space by mail, enclose the completed deposit form with your deposit or full payment by check, VISA, MasterCard, Discover or American Express to your local Y.
To reserve your space by email, send to the email address below.
To reserve your space online, go to ykids.org.
To reserve your space in person, come in to your local Y and register.
We’re sorry, but no phone reservations are accepted.
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2
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Please charge my credit card for the total amount of deposit fee(s) only.
Please use my credit card for scheduling payments.
Please contact me to schedule payments through my bank account.
totAl AMount to Be CHArgeD to CreDit CArD $ ____________
Check Enclosed (Payable to YMCA of Greater Seattle) $ ____________
Cash (in person only) $ ____________
Summer Camp eAstsiDe YMCAs
suMMer ProgrAMs reserVAtion ForM 2015
For
Inte
rnal
Use
:St
aff
Init
ials
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ent
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irst
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reserVAtion ForM 2015EA
StSI
DE
YMCA
s
Please indicate ALL sessions yourchild will be attending each week,
including Wrap Around Camp.EnteringGrades in Fall Ju
ne 2
2 -
26
June
29
- J
uly
3*
July
6 -
10
July
13
- 1
7
July
20
- 2
4
July
27
- 3
1
Aug
. 3 -
7
Aug
. 10
- 1
4
Aug
. 17
- 2
1
Aug
. 24
- 2
8
KIDS ON THEIR WAYKIDS ON THEIR WAY SELECT DATES ✓ K
Without Wrap Around Camp 9:15 am - 3:45 pm
With Wrap Around Camp 7:00 am - 6:00 pm
Select Drop off/Pick up/Wrap Around Camp Site
Bellevue Family YMCA
Coal Creek Family YMCA (Drop off/Pick up site only)
Hazelwood Elementary
Sammamish Family YMCA
Snoqualmie Valley YMCA
sPorts CAMPs At Hazelwood Elementary 9:30 am - 3:30 pm 2-4
Multi-Sport
Soccer
Lacrosse
Playground Sports
Track & Field
With Wrap Around Camp 7:00 am - 6:00 pm
Drop off/Pick up at Coal Creek Family YMCA
At Snoqualmie Valley YMCA 9:30 am - 3:30 pm 2-4
Track & Field
Basketball
Soccer
With Wrap Around Camp 7:00 am - 6:00 pm
sPeCiAltY CAMPsAt Holy Cross Lutheran Church 9:00 am - 4:00 pm 3-6
LEGO® StEM Robotics with LEAP4Kidz†
Hip Hop Dance with the Y†
Magic Camp with the Y†
At Audobon Elementary 9:30 am - 3:30 pm 3-6
Scratch Code Camp with TechVenture Kids
Art Week with Studio 2 You
Magic and Comedy with Bruce Meyers
LEGO® Space Engineering with LEAP4Kidz
LEGO® Machine Madness with LEAP4Kidz
LEGO® StEM Robotics with LEAP4Kidz
Hip Hop Dance with Expioe Dance
With Wrap Around Camp 7:00 am - 6:00 pm
QuestQuest SELECT DATES ✓ 6-9
Without Wrap Around Camp 9:00 am - 4:00 pm
With Wrap Around Camp 7:00 am - 6:00 pm
Select Drop off/Pick up/Wrap Around Camp Site
Bellevue Family YMCA
Coal Creek Family YMCA
Sammamish Family YMCA
Snoqualmie Valley YMCA
*All sites closed July 3. †Wrap Around Camp is not available for Specialty Camps at Holy Cross Lutheran Church.
Please indicate ALL sessions yourchild will be attending each week,
including Wrap Around Camp.EnteringGrades in Fall Ju
ne 2
2 -
26
June
29
- J
uly
3*
July
6 -
10
July
13
- 1
7
July
20
- 2
4
July
27
- 3
1
Aug
. 3 -
7
Aug
. 10
- 1
4
Aug
. 17
- 2
1
Aug
. 24
- 2
8
outDoor DAY CAMPAt YMCA Camp Terry 1-6
Without Wrap Around Camp 8:45 am - 4:00 pm
With Wrap Around Camp 7:00 am - 6:00 pm
Select Drop off/Pick up/Wrap Around Camp Site
YMCA Camp Terry
Bellevue Family YMCA
Benjamin Rush Elementary
Coal Creek Family YMCA
Hazelwood Elementary
Horace Mann Elementary
Sammamish Family YMCA
Snoqualmie Valley YMCA
CAMP terrY PlusAt YMCA Camp Terry 3-6
All About Archery 8:45 am - 4:00 pm
Hot Off the Grill 8:45 am - 4:00 pm
Rocks and Ropes 8:45 am - 4:00 pm
With Wrap Around Camp 7:00 am - 6:00 pm
Select Drop off/Pick up/Wrap Around Camp Site
YMCA Camp Terry
Bellevue Family YMCA
Benjamin Rush Elementary
Coal Creek Family YMCA
Hazelwood Elementary
Horace Mann Elementary
Sammamish Family YMCA
Snoqualmie Valley YMCA
DisCoVerY CAMPDisCoVerY CAMP SELECT DATES ✓ K-3
Without Wrap Around Camp 9:15 am - 3:45 pm
With Wrap Around Camp 7:00 am - 6:00 pm
Select Drop off/Pick up/Wrap Around Camp Site
Audubon Elementary
Bellevue Family YMCA (Entering grades 1-3)
Benjamin Rush Elementary
Coal Creek Family YMCA (Drop off/Pick up only; Entering grades 1-3)
Hazelwood Elementary (Entering grades 1-3)
Sammamish Family YMCA (Entering grades 1-3)
Snoqualmie Valley YMCA (Entering grades 1-3)
PresCHool sPeCiAltY CAMPsAt Coal Creek Family YMCA 1:30 - 4:00 pm Preschool
Ages3-5Little Picassos
Rookie Sports
Let’s Get Cooking
Surf & Turf
*All sites closed July 3. Kindergartners enrolling at these locations should sign up for our Kids On Their Way program.
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Plea
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Com
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YMCA
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