summer programs reservation form 2015 - ymca of...

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

Email

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.

3

2

1

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

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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


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


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


QuestQuest SELECT DATES ✓ 6-9





Coal Creek Family 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




YMCA Camp Terry


Benjamin Rush Elementary



Horace Mann Elementary



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



YMCA Camp Terry





Horace Mann Elementary



DisCoVerY CAMPDisCoVerY CAMP SELECT DATES ✓ K-3




Audubon Elementary

Bellevue Family YMCA (Entering grades 1-3)


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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summer programs reservation form 2015 - ymca of...

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