Y TIME CHILDCARE
SUMMER 2017
STARTING JUNE 12th
YMCA OF BARRY COUNTY
Providing Y Time Childcare All Summer Long!
“Y Time” held at Northeastern Elementary
As a Y Time participant, your child will experience academic support, self-esteem building, and character development
with our staff. There is much more you should know about us, like:
 We will be open all summer EXCEPT Memorial Day, July 4th, and Labor Day
 We’re available to all students ages 5 years to 12 years old
 We keep children involved with enriching academic activities, creative play, games and field trips
 We encourage healthy eating habits, and outdoor play as much as possible
 The YMCA Core Values of Caring, Honesty, Respect, and Responsibility are always
promoted through all activities
Y Time Program Director
Marci McCoy, M.A. CFLE
Over 20 years of experience
working with children
Hours of Operation
Regular program hours are from the 6:30 am to 6 pm, Monday—Friday
Location
Childcare is housed at Northeastern Elementary, in Hastings.
Free Breakfast available, snacks provided. Lunch will have to be packed/brought from
home everyday.
Child Care Fees
$50 Application Fee (one time)
Full Time
$135/week
Contact Marci at:
269-945-6148 or
[email protected]
Financial Aid
Scholarships are available to those who qualify. It is in your best interest to apply at least a week before the Registration Deadline. Scholarship applications
are available online, at the YMCA office or at any of our drop box locations.
PO Box 252 · 2055 Iroquois Trail · Hastings, MI 49058
Phone: 269-945-4574 · Office Hours 9am-4pm M-F
[email protected]
www.ymcaofbarrycounty.org
YMCA of Barry County
Y Time Child Care Enrollment Form-Summer 2017
Child’s First Name ____________________________________ M.I. ______ Last___________________________________
EnrollmentChecklist
Current Age _______ Birth Date _______________________ Current Grade _______
1. Child info. Record ___
Male ______ Female _______
Address __________________________________________________ City _________________ State _____ Zip _________
2. Immunization Record ____
Township _________________________________ School Attending _____________________________________________
3. Statement of Health &
Activity Restriction ______
Does the address above also belong to:  Both Parents  Mother Only  Father Only  Other Guardian
4. Parent Packet _________
Mother/Guardian’s First Name__________________________________ Last_____________________________________
Father/Guardian’s First Name__________________________________ Last______________________________________
Home Phone (M) _____________________________________ Home Phone (F)__________________________________
Cell Phone (M) _______________________________________ Cell Phone (F)____________________________________
Work Phone (M) ______________________________________ Work Phone (F)___________________________________
5. Electronic Policy ________
6. Y Time enrollment
agreement __________
7. Payment account set up
on Camp Brain__________
Emergency Contact ___________________________________ Emergency Phone_________________________________
Would you like to receive YMCA newsletters and updates through your email
Yes
No
Already Subscribed
I hereby give my permission for my child to participate in YMCA programs. I assume all risks and hazards incidental to such participation, including transportation
to and from activities. I give my permission for the YMCA staff to take my child for emergency care in case of sudden emergency or if I cannot be reached at that
time. I do hereby waive, release, absolve, indemnify, and agree to hold harmless the YMCA of Barry County, or organizers, sponsors, supervisors, and participants. I
also hereby give my permission to use photos, video or any other media record of my child’s participation for any lawful purposes.
Parent/Guardian Signature ______________________________________ Date_________________

Full Time $135/week

Circle Days of the week your child(ren) will participate:
Part Time - $35/day must be at the program at least 3 days per week
M T W Th F
Hours in care(6:30 am to 6 pm): ___________________________________________