2015-2016 SCHOOL YEAR CONCORD FAMILY YMCA SITE KYDSTOP CONCORD FAMILY YMCA’S AFTER SCHOOL PROGRAM TRANSPORTATION IS PROVIDED FROM THE FOLLOWING SCHOOLS: CHRISTA MCAULIFFE, MILLBROOK, AND BROKEN GROUND ELEMENTARY SCHOOLS SAVE YOUR CHILD'S SPOT FOR THE FALL… SIGN UP TODAY FOR THE YMCA’S AFTER SCHOOL PROGRAM Once children reach school age, multiple influences enter their lives. The Concord Family YMCA Kydstop program ensures that their time after school is occupied creatively and constructively. Don’t miss out! Sign up today, complete the back side of this flyer and return it to: Sonia Wilks After School and Camps Director [email protected] 603.290.7001 Concord Family YMCA • 15 N. State St. • Concord NH 03301 • concordymca.org Concord Family YMCA Kydstop After School Program 2015-2016 school year. SIGN UP TODAY! Join our nationally honored YMCA after school program - Kydstop! The well trained and caring staff promote our character development program of caring, honesty, respect and responsibility! Take part in our “fun and fit” and “CATCH” programs for active play everyday! Activities include, enrichment activities, clubs, outdoor play, arts and crafts, sports, swimming, rock climbing, group games, homework support, and special Fun Fridays! AFTER SCHOOL PROGRAM (YMCA MEMBER) AFTER SCHOOL PROGRAM (NON MEMBER) $70.00 PER WEEK $90.00 PER WEEK Please return this form with a $40.00 registration fee to reserve your spot. Scholarships are available. Please Contact Sonia Wilks at 603.290.7001 with any questions. Please Print Child's Name Grade Address: Child’s School __________________________ Email: Parent's Name ___ __________________ DOB____________ Work Phone # __________________________ Cell or Home Phone # ____________________________ I do hereby give my consent for my child to participate in the Concord YMCA Kydstop after school program. I also understand that every precaution will be taken and so hereby release the Concord YMCA, its Directors, Agents, and Employees of all responsibility for loss or injury to his/her property. In case of an emergency, I hereby grant full permission to have medical treatment administered to my child. I further grant permission for my child to receive treatment at the hospital, should it seem necessary to the staff . Parent's Signature Date _________________________
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