GA Mountains YMCA
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Georgia Mountains
J.A. Walters
Kids Time
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Afterschool Change in Information Form
Child's Name
Child's Birthdate
Parent/Guadian Name
Afterschool Site
Banks County Primary
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Dawson County Black's Mill
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Change in Schedule
I would like to change my child's enrollment status from FULLTIME to PART TIME. I understand that if my child is registered for 5 days and does not attend the entire week I am still responsible for full time rate. Children will be charged a $15 fee for attending more than their scheduled 3 days. NOT VALID FOR HALL COUNTY
Select the 3 days which your child will be attending
Monday
Tuesday
Wednesday
Thursday
Friday
I would like to change my child's enrollment status from PART TIME to FULLTIME. I understand attending less will not change the amount that I am charged.
I would like to inform the Georgia Mountains YMCA that my child will not be attending the following dates. Please specify start and end dates. If you are withdrawing your child permanently, please complete an Afterschool Withdrawal Form.
Absence Start Date
Absence End Date
Change in Information
Child's Name
New Phone Number
New Address
New Work Phone Number
Change in Pick Up Contact
Add Contact
Remove Contact
Update Contact
Name of Authorized Pick Up Contact
Address
Relation to the Child
Phone Number
As a registered participant in the YMCA Kid's Time Program, I understand that I must give at least a 10 day notice of my child's (week long or more) absences from the program in order not to be charged for that week. I understand that if I do not give at least a 10 day notice by completing this form, I will be charged in full for that time. I understand I must submit this form with at least a 10 day notice for the changes to be effective.
Parent/Guardian Signature
Submit
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