Before & After School 2023-24 Registration Before & After School Registration 2023-2024 "*" indicates required fields Step 1 of 7 14% Please note: registration fees are non-refundable regardless of enrollment status. For additional questions and support, please call 309-662-7826 or email our team. Guardian(s)Please fill in your, and any other approved guardians’, information. Guardian Information*First NameLast NamePhone NumberEmail AddressRelationship to Child(ren) Add RemovePlease use the symbol to the right to add additional lines. Guardian Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Child(ren)'s address is different from above:* Yes No How did you hear about YWCA Young Wonders?FacebookInstagramLinkedInChild's SchoolEmailRadioBillboardYWCA employeeFriend/Family Child(ren)How many children are you registering?* Child(ren)'s Information*First NameLast NameDate of BirthPreferred Prounouns Add RemovePlease use the symbol to the right to add additional lines. Has your child or have your children attended YWCA Young Wonders in the last 12 months?* Yes No I am registering more than one student and some have attended and some have not. Past Young Wonders AttendancePlease indicate which student(s) has/have attended Young Wonders in the past 12 months. Add RemoveSchool Attending:*Additional offsite locations to be determined based on enrollment.BentColene HooseFox CreekIrvingOaklandSheridanStevensonWashingtonOtherOther school:* Child(ren)'s Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Child Care SelectionsWe provide care between the hours of 6:30 a.m. to 5:30 p.m., Monday through Friday at YWCA and off-site locations.What type of care do you need?* Before School Care After School Care Before AND After School Care Special Needs Care (after school only) Before School Care:*Before school only. Select all that apply. Monday Tuesday Wednesday Thursday Friday After School Care:*After school only. Select all that apply. Monday Tuesday Wednesday Thursday Friday Before AND After School Care:*Select all that apply. Monday Tuesday Wednesday Thursday Friday Does your child need bussing?* Yes No Please make an appointment with our staff.If your child has special needs or accommodations, an IEP meeting must be conducted prior to registration. Please reach out to Diana Bender, Director of Young Wonders, to set an appointment for review. Please note: Clicking complete registration below will not successfully register your child for the program. BussingBussing is only available at schools we do not provide on-site care at (mostly Unit 5). All bus routes are subject to change. There is an additional $15 per week transportation fee. What kind of transportation does your child need?*Please select all that apply. Dropped-off at School Picked-up at School Time School Starts* Hours : Minutes AM PM AM/PM Time School Ends* Hours : Minutes AM PM AM/PM Which school does your child need to be picked up/dropped off at?*All bus routes are subject to change. Additional offsite locations to be determined based on enrollment.BentColene HooseFox CreekIrvingOaklandSheridanStevensonWashington Financial AssistancePlease note if your approval is not finalized with our billing coordinator before your child starts you will be held financially responsible for all tuition fees until approval is received from the above agency.Are you working with a Child Agency?* Yes No Which Agency?* CCRN DCFS CCRN Case Information* I have a current case I am transferring to Young Wonders I am currently applying for aide DCFS Caseworker Information*Caseworker NameCaseworker Phone Add RemovePaymentWhere should we send your confirmation email?* Registration Fee TotalThere is a $60, one-time, per-child registration fee, due with this form. Please note registration fees are non-refundable, regardless of enrollment status. Price: $0.00
