GA Mountains YMCA
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Georgia Mountains
J.A. Walters
Kids Time
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Summer Camp Change in Information Form
Child's Name
Child's Birthdate
Parent/Guadian Name
Summer Camp Site
J. A. Walters
Kilough
Spout Springs
Change in Schedule
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 a Summer Camp 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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