YMCA STAY & PLAY
YMCA STAY & PLAY Goddard & Renwick School District When: Friday, February 10, 2017 6:00-9:30pm Where: Explorer/Apollo/Amelia Earhart Elementary Schools Who: Any children ages 5-12 Cost: $20 (+$15 for each additional sibling)
Give the kids a fun place to hang out, while you celebrate your Valentine’s Day! There will be lots of fun games, activities, and food. Pizza will be provided for dinner. **Renwick students can choose one of the three locations to attend. Please circle your choice on the left. For more information, please contact Victoria Fleming (316) 925-2312.
*This program is not part of our Licensed Childcare Please fill out the form below and turn in with your payment to your SACC Site Director at the school. If your child does not attend before/after school programs, please fill out the Emergency Medical Release on the back of this page.
Child’s Name: _______________________ Age:______ Birthday:_______________ Child’s Name: _______________________ Age:______ Birthday:_______________ Child’s Name: _______________________ Age:______ Birthday:_______________ Parent/Guardian Information: Name: _______________________ Relationship:__________ Phone: ___________ Name: _______________________ Relationship:__________ Phone: ___________ Emergency Contacts: Name: _______________________ Relationship:__________ Phone: ___________ Name: _______________________ Relationship:__________ Phone: ___________ Deadline to register is February 8th. Payment must be made at time of registration.
GREATER WICHITA YMCA | ymcawichita.org | facebook.com/ymcawichita
Give the kids a fun place to hang out, while you celebrate your Valentine’s Day! There will be lots of fun games, activities, and food. Pizza will be provided for dinner. **Renwick students can choose one of the three locations to attend. Please circle your choice on the left. For more information, please contact Victoria Fleming (316) 925-2312.
*This program is not part of our Licensed Childcare Please fill out the form below and turn in with your payment to your SACC Site Director at the school. If your child does not attend before/after school programs, please fill out the Emergency Medical Release on the back of this page.
Child’s Name: _______________________ Age:______ Birthday:_______________ Child’s Name: _______________________ Age:______ Birthday:_______________ Child’s Name: _______________________ Age:______ Birthday:_______________ Parent/Guardian Information: Name: _______________________ Relationship:__________ Phone: ___________ Name: _______________________ Relationship:__________ Phone: ___________ Emergency Contacts: Name: _______________________ Relationship:__________ Phone: ___________ Name: _______________________ Relationship:__________ Phone: ___________ Deadline to register is February 8th. Payment must be made at time of registration.
GREATER WICHITA YMCA | ymcawichita.org | facebook.com/ymcawichita
