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Forms and Registration for School year 2009 - 2010 will be available starting April 30, 2009.

Bexley City Schools

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Bexley City Schools

ATTENTION PARENTS: The morning YMCA program in Bexley is operated at Montrose Elementary school. You will need to drop your child off at Montrose Elementary each morning. Then your child will be bused to their elementary school each morning around 8:15 AM. You will need to fill out a transportation form.

The YMCA afternoon programs are ran at all three elementary schools (Montrose, Cassingham and Maryland). You will pick up your child at the elementary school they attend during the day.

Cassingham Elementary

Programs Offered:
After Care (PM)
School Age

Register at:
Jerry L. Garver YMCA
614-834-9622

Registration Forms (MUST BE COMPLETED)

Registration Form
Child Enrollment & Health Form
- Helpful Hints for Completing Health Forms
Parent Handbook
Child Medical/Physical Care Plan
Request for Administration of Medication
Parent/Guardian Statement of Understanding
Code of Conduct For Parents
Authorization Release Form

Other

Tax Receipt Information
Fee Sheet
Routine/Field Trip Permission

Maryland Elementary

Programs Offered:
After Care (PM)
School Age

Register at:
Jerry L. Garver YMCA
614-834-9622

Registration Forms (MUST BE COMPLETED)

Registration Form
Child Enrollment & Health Form
- Helpful Hints for Completing Health Forms
Parent Handbook
Child Medical/Physical Care Plan
Request for Administration of Medication
Parent/Guardian Statement of Understanding
Code of Conduct For Parents
Authorization Release Form

Other

Tax Receipt Information
Fee Sheet
Routine/Field Trip Permission

Montrose Elementary

Programs Offered:
After Care (PM)
AM Kindergarten Plus
Before Care (AM)
PM Kindergarten Plus
School Age

Register at:
Jerry L. Garver YMCA
614-834-9622

Registration Forms (MUST BE COMPLETED)

Registration Form
Child Enrollment & Health Form
- Helpful Hints for Completing Health Forms
Parent Handbook
Child Medical/Physical Care Plan
Request for Administration of Medication
Parent/Guardian Statement of Understanding
Code of Conduct For Parents
Authorization Release Form

Other

Tax Receipt Information
Fee Sheet
Routine/Field Trip Permission

Catholic Diocese

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Catholic Diocese

St. Michael's

Programs Offered:
After Care (PM)
School Age

Register at:
North YMCA
614-885-4252

Registration Forms (MUST BE COMPLETED)

Registration Form
Child Enrollment & Health Form
- Helpful Hints for Completing Health Forms
Parent Handbook
Child Medical/Physical Care Plan
Request for Administration of Medication
Parent/Guardian Statement of Understanding
Code of Conduct For Parents
Authorization Release Form

Other

Tax Receipt Information
Fee Sheet
Payment Coupons
Bank Draft Form
School Days Off Reg. Packet Mar. 22-26

Circleville City Schools

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Circleville City Schools

Pickaway County YMCA

Programs Offered:
After Care (PM)
Before Care (AM)
School Age

Register at:
Pickaway County YMCA
740-477-1661

Registration Forms (MUST BE COMPLETED)

Registration Form
Child Enrollment & Health Form
- Helpful Hints for Completing Health Forms
Parent Handbook
Child Medical/Physical Care Plan
Request for Administration of Medication
Transporation Form
Swimming Permission Form
Parent/Guardian Statement of Understanding
Code of Conduct For Parents
Authorization Release Form

Other

Tax Receipt Information
Welcome Letter
School Days Off Information

Columbus Public Schools

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Columbus Public Schools

Beatty Park Rec. Center (CHMA)

Programs Offered:
After Care (PM)
School Age

Register at:
Eldon & Elsie Ward Family YMCA
614-252-3166

Registration Forms (MUST BE COMPLETED)

Child Enrollment & Health Form
- Helpful Hints for Completing Health Forms
Child Medical/Physical Care Plan
Request for Administration of Medication
Parent/Guardian Statement of Understanding
Code of Conduct For Parents
Authorization Release Form

Other

Tax Receipt Information

Fairwood Elementary (USI)

Programs Offered:
After Care (PM)
Before Care (AM)
School Age
School Age

Register at:
Jerry L. Garver YMCA
614-834-9622

Registration Forms (MUST BE COMPLETED)

Registration Form
Child Enrollment & Health Form
- Helpful Hints for Completing Health Forms
Parent Handbook
Child Medical/Physical Care Plan
Request for Administration of Medication
Parent/Guardian Statement of Understanding
Code of Conduct For Parents
Authorization Release Form

Other

Tax Receipt Information
Fee Sheet

North YMCA

Programs Offered:
After Care (PM)
Before Care (AM)
School Age

Register at:
North YMCA
614-885-4252

Registration Forms (MUST BE COMPLETED)

Registration Form
Child Enrollment & Health Form
- Helpful Hints for Completing Health Forms
Parent Handbook
Child Medical/Physical Care Plan
Request for Administration of Medication
Transporation Form
Swimming Permission Form
Parent/Guardian Statement of Understanding
Code of Conduct For Parents
Authorization Release Form

Other

Tax Receipt Information
Fee Sheet
Payment Coupons
School Days Off Reg. Packet Mar. 22-26

Southwood @ Reeb Elementary

Programs Offered:
After Care (PM)
School Age

Register at:
Jerry L. Garver YMCA
614-834-9622

Registration Forms (MUST BE COMPLETED)

Registration Form
Child Enrollment & Health Form
- Helpful Hints for Completing Health Forms
Parent Handbook
Child Medical/Physical Care Plan
Request for Administration of Medication
Parent/Guardian Statement of Understanding
Code of Conduct For Parents
Authorization Release Form

Other

Tax Receipt Information
Fee Sheet

Valleyview Elementary

Serves the following schools:
Binns Elementary Westgate Elementary West Broad Elementary

Valleyview Elementary

Serves the following schools:
Binns Elementary Westgate Elementary West Broad Elementary
Programs Offered:
After Care (PM)
Before Care (AM)
School Age

Register at:
Hilltop YMCA
614-276-8224

Registration Forms (MUST BE COMPLETED)

Registration Form
Child Enrollment & Health Form
- Helpful Hints for Completing Health Forms
Parent Handbook
Child Medical/Physical Care Plan
Request for Administration of Medication
Parent/Guardian Statement of Understanding
Code of Conduct For Parents
Authorization Release Form

Other

Tax Receipt Information
Fee Sheet

Hamilton Local Schools

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Hamilton Local Schools

Hamilton Elementary School

Programs Offered:
After Care (PM)
Before Care (AM)
School Age

Register at:
Jerry L. Garver YMCA
614-834-9622

Registration Forms (MUST BE COMPLETED)

Registration Form
Child Enrollment & Health Form
- Helpful Hints for Completing Health Forms
Parent Handbook
Child Medical/Physical Care Plan
Request for Administration of Medication
Parent/Guardian Statement of Understanding
Code of Conduct For Parents
Authorization Release Form

Other

Tax Receipt Information
Fee Sheet

Olentangy Local Schools

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Olentangy Local Schools

Alum Creek Elementary

Programs Offered:
After Care (PM)
Before Care (AM)
School Age

Register at:
North YMCA
614-885-4252

Registration Forms (MUST BE COMPLETED)

Registration Form
Child Enrollment & Health Form
- Helpful Hints for Completing Health Forms
Parent Handbook
Child Medical/Physical Care Plan
Request for Administration of Medication
Parent/Guardian Statement of Understanding
Code of Conduct For Parents
Authorization Release Form

Other

Tax Receipt Information
Fee Sheet
Bank Draft Form
Payment Coupons
School Days Off Packet
School Days Off Reg. Packet Mar. 22-26

Arrowhead Elementary

Programs Offered:
After Care (PM)
Before Care (AM)
School Age

Register at:
North YMCA
614-885-4252

Registration Forms (MUST BE COMPLETED)

Registration Form
Child Enrollment & Health Form
- Helpful Hints for Completing Health Forms
Parent Handbook
Child Medical/Physical Care Plan
Request for Administration of Medication
Parent/Guardian Statement of Understanding
Code of Conduct For Parents
Authorization Release Form

Other

Tax Receipt Information
Fee Sheet
Bank Draft Form
Payment Coupons
School Days Off Packet
School Days Off Reg. Packet Mar. 22-26

Freedom Trail Elementary

Programs Offered:
After Care (PM)
Before Care (AM)
School Age

Register at:
North YMCA
614-885-4252

Registration Forms (MUST BE COMPLETED)

Registration Form
Child Enrollment & Health Form
- Helpful Hints for Completing Health Forms
Parent Handbook
Child Medical/Physical Care Plan
Request for Administration of Medication
Parent/Guardian Statement of Understanding
Code of Conduct For Parents
Authorization Release Form

Other

Tax Receipt Information
Fee Sheet
Bank Draft Form
Payment Coupons
School Days Off Packet
School Days Off Reg. Packet Mar. 22-26

Glen Oak Elementary

Programs Offered:
After Care (PM)
Before Care (AM)
School Age

Register at:
North YMCA
614-885-4252

Registration Forms (MUST BE COMPLETED)

Registration Form
Child Enrollment & Health Form
- Helpful Hints for Completing Health Forms
Parent Handbook
Child Medical/Physical Care Plan
Request for Administration of Medication
Parent/Guardian Statement of Understanding
Code of Conduct For Parents
Authorization Release Form

Other

Tax Receipt Information
Fee Sheet
Bank Draft Form
Payment Coupons
School Days Off Packet
School Days Off Reg. Packet Mar. 22-26

Indian Springs Elementary

Programs Offered:
After Care (PM)
Before Care (AM)
School Age

Register at:
North YMCA
614-885-4252

Registration Forms (MUST BE COMPLETED)

Registration Form
Child Enrollment & Health Form
- Helpful Hints for Completing Health Forms
Parent Handbook
Child Medical/Physical Care Plan
Request for Administration of Medication
Parent/Guardian Statement of Understanding
Code of Conduct For Parents
Authorization Release Form

Other

Tax Receipt Information
Fee Sheet
Bank Draft Form
Payment Coupons
School Days Off Packet
School Days Off Reg. Packet Mar. 22-26

Johnny Cakes Corner Elementary

Programs Offered:
After Care (PM)
Before Care (AM)
School Age

Register at:
North YMCA
614-885-4252

Registration Forms (MUST BE COMPLETED)

Registration Form
Child Enrollment & Health Form
- Helpful Hints for Completing Health Forms
Parent Handbook
Child Medical/Physical Care Plan
Request for Administration of Medication
Parent/Guardian Statement of Understanding
Code of Conduct For Parents
Authorization Release Form

Other

Tax Receipt Information
Fee Sheet
Bank Draft Form
Payment Coupons
School Days Off Packet
School Days Off Reg. Packet Mar. 22-26

Liberty Tree Elementary

Programs Offered:
After Care (PM)
Before Care (AM)
School Age

Register at:
North YMCA
614-885-4252

Registration Forms (MUST BE COMPLETED)

Registration Form
Child Enrollment & Health Form
- Helpful Hints for Completing Health Forms
Parent Handbook
Child Medical/Physical Care Plan
Request for Administration of Medication
Parent/Guardian Statement of Understanding
Code of Conduct For Parents
Authorization Release Form

Other

Tax Receipt Information
Fee Sheet
Bank Draft Form
School Days Off Packet
Payment Coupons
School Days Off Reg. Packet Mar. 22-26

Oak Creek Elementary

Programs Offered:
After Care (PM)
Before Care (AM)
School Age

Register at:
North YMCA
614-885-4252

Registration Forms (MUST BE COMPLETED)

Registration Form
Child Enrollment & Health Form
- Helpful Hints for Completing Health Forms
Parent Handbook
Child Medical/Physical Care Plan
Request for Administration of Medication
Parent/Guardian Statement of Understanding
Code of Conduct For Parents
Authorization Release Form

Other

Tax Receipt Information
Fee Sheet
Bank Draft Form
Payment Coupons
School Days Off Packet
School Days Off Reg. Packet Mar. 22-26

Olentangy Meadows

Programs Offered:
After Care (PM)
Before Care (AM)
School Age

Register at:
North YMCA
614-885-4252

Registration Forms (MUST BE COMPLETED)

Registration Form
Child Enrollment & Health Form
- Helpful Hints for Completing Health Forms
Parent Handbook
Child Medical/Physical Care Plan
Request for Administration of Medication
Parent/Guardian Statement of Understanding
Code of Conduct For Parents
Authorization Release Form

Other

Tax Receipt Information
Fee Sheet
Bank Draft Form
Payment Coupons
School Days Off Packet
School Days Off Reg. Packet Mar. 22-26

Scioto Ridge Elementary

Programs Offered:
After Care (PM)
Before Care (AM)
School Age

Register at:
North YMCA
614-885-4252

Registration Forms (MUST BE COMPLETED)

Registration Form
Child Enrollment & Health Form
- Helpful Hints for Completing Health Forms
Parent Handbook
Child Medical/Physical Care Plan
Request for Administration of Medication
Parent/Guardian Statement of Understanding
Code of Conduct For Parents
Authorization Release Form

Other

Tax Receipt Information
Fee Sheet
Bank Draft Form
Payment Coupons
School Days Off Packet
School Days Off Reg. Packet Mar. 22-26

Tyler Run

Programs Offered:
After Care (PM)
Before Care (AM)
School Age

Register at:
North YMCA
614-885-4252

Registration Forms (MUST BE COMPLETED)

Registration Form
Child Enrollment & Health Form
- Helpful Hints for Completing Health Forms
Parent Handbook
Child Medical/Physical Care Plan
Request for Administration of Medication
Parent/Guardian Statement of Understanding
Code of Conduct For Parents
Authorization Release Form

Other

Tax Receipt Information
Fee Sheet
Bank Draft Form
Payment Coupons
School Days Off Packet
School Days Off Reg. Packet Mar. 22-26

Walnut Creek Elementary

Programs Offered:
After Care (PM)
Before Care (AM)
School Age

Register at:
North YMCA
614-885-4252

Registration Forms (MUST BE COMPLETED)

Registration Form
Child Enrollment & Health Form
- Helpful Hints for Completing Health Forms
Parent Handbook
Child Medical/Physical Care Plan
Request for Administration of Medication
Parent/Guardian Statement of Understanding
Code of Conduct For Parents
Authorization Release Form

Other

Tax Receipt Information
Fee Sheet
Bank Draft Form
Payment Coupons
School Days Off Packet
School Days Off Reg. Packet Mar. 22-26

Wyandotte Run Elementary

Programs Offered:
After Care (PM)
Before Care (AM)
School Age

Register at:
North YMCA
614-885-4252

Registration Forms (MUST BE COMPLETED)

Registration Form
Child Enrollment & Health Form
- Helpful Hints for Completing Health Forms
Parent Handbook
Child Medical/Physical Care Plan
Request for Administration of Medication
Parent/Guardian Statement of Understanding
Code of Conduct For Parents
Authorization Release Form

Other

Tax Receipt Information
Fee Sheet
Bank Draft Form
Payment Coupons
School Days Off Packet
School Days Off Reg. Packet Mar. 22-26

Pickerington School District

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Pickerington School District

Fairfield Elementary

Programs Offered:
After Care (PM)
Before Care (AM)
School Age

Register at:
Jerry L. Garver YMCA
614-834-9622

Registration Forms (MUST BE COMPLETED)

Registration Form
Child Enrollment & Health Form
- Helpful Hints for Completing Health Forms
Parent Handbook
Child Medical/Physical Care Plan
Request for Administration of Medication
Parent/Guardian Statement of Understanding
Code of Conduct For Parents
Authorization Release Form

Other

Tax Receipt Information
Fee Sheet

Heritage Elementary

Programs Offered:
After Care (PM)
Before Care (AM)
School Age

Register at:
Jerry L. Garver YMCA
614-834-9622

Registration Forms (MUST BE COMPLETED)

Registration Form
Child Enrollment & Health Form
- Helpful Hints for Completing Health Forms
Parent Handbook
Child Medical/Physical Care Plan
Request for Administration of Medication
Parent/Guardian Statement of Understanding
Code of Conduct For Parents
Authorization Release Form

Other

Tax Receipt Information
Fee Sheet

Jerry L. Garver YMCA

Programs Offered:
Preschool
School Days Off

Register at:
Jerry L. Garver YMCA
614-834-9622

Registration Forms (MUST BE COMPLETED)

Registration Form
Child Enrollment & Health Form
- Helpful Hints for Completing Health Forms
Parent Handbook
Child Medical/Physical Care Plan
Request for Administration of Medication
Parent/Guardian Statement of Understanding
Code of Conduct For Parents
Authorization Release Form

Other

Tax Receipt Information
Fee Sheet

Pickerington Elementary

Programs Offered:
After Care (PM)
Before Care (AM)
School Age

Register at:
Jerry L. Garver YMCA
614-834-9622

Registration Forms (MUST BE COMPLETED)

Registration Form
Child Enrollment & Health Form
- Helpful Hints for Completing Health Forms
Parent Handbook
Child Medical/Physical Care Plan
Request for Administration of Medication
Parent/Guardian Statement of Understanding
Code of Conduct For Parents
Authorization Release Form

Other

Tax Receipt Information
Fee Sheet

Sycamore Elementary

Programs Offered:
After Care (PM)
Before Care (AM)
School Age

Register at:
Jerry L. Garver YMCA
614-834-9622

Registration Forms (MUST BE COMPLETED)

Registration Form
Child Enrollment & Health Form
- Helpful Hints for Completing Health Forms
Parent Handbook
Child Medical/Physical Care Plan
Request for Administration of Medication
Parent/Guardian Statement of Understanding
Code of Conduct For Parents
Authorization Release Form

Other

Tax Receipt Information
Fee Sheet

Toll Gate Elementary

Programs Offered:
After Care (PM)
Before Care (AM)
School Age

Register at:
Jerry L. Garver YMCA
614-834-9622

Registration Forms (MUST BE COMPLETED)

Registration Form
Child Enrollment & Health Form
- Helpful Hints for Completing Health Forms
Parent Handbook
Child Medical/Physical Care Plan
Request for Administration of Medication
Parent/Guardian Statement of Understanding
Code of Conduct For Parents
Authorization Release Form

Other

Tax Receipt Information
Fee Sheet

Tussing Elementary

Programs Offered:
After Care (PM)
Before Care (AM)
School Age

Register at:
Jerry L. Garver YMCA
614-834-9622

Registration Forms (MUST BE COMPLETED)

Registration Form
Child Enrollment & Health Form
- Helpful Hints for Completing Health Forms
Parent Handbook
Child Medical/Physical Care Plan
Request for Administration of Medication
Parent/Guardian Statement of Understanding
Code of Conduct For Parents
Authorization Release Form

Other

Tax Receipt Information
Fee Sheet

Violet Elementary

Programs Offered:
After Care (PM)
Before Care (AM)
School Age

Register at:
Jerry L. Garver YMCA
614-834-9622

Registration Forms (MUST BE COMPLETED)

Registration Form
Child Enrollment & Health Form
- Helpful Hints for Completing Health Forms
Parent Handbook
Child Medical/Physical Care Plan
Request for Administration of Medication
Parent/Guardian Statement of Understanding
Code of Conduct For Parents
Authorization Release Form

Other

Tax Receipt Information
Fee Sheet

South Western City Schools

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South Western City Schools

Alton Hall Elementary
(After School Program only)

Serves the following schools:
Before School Program offered at Darby Woods

Alton Hall Elementary
(After School Program only)

Serves the following schools:
Before School Program offered at Darby Woods

Programs Offered:
After Care (PM)
School Age

Register at:
Hilltop YMCA
614-276-8224

Registration Forms (MUST BE COMPLETED)

Registration Form
Child Enrollment & Health Form
- Helpful Hints for Completing Health Forms
Parent Handbook
Child Medical/Physical Care Plan
Request for Administration of Medication
Parent/Guardian Statement of Understanding
Code of Conduct For Parents
Authorization Release Form

Other

Tax Receipt Information
Fee Sheet

Cherry Creek YMCA

Serves the following schools:
Galloway Ridge Intermediate (after school program at Darby Woods)
Holt Crossing Intermediate
Prairie Norton Elementary
Stiles Elementary

Cherry Creek YMCA

Serves the following schools:
Galloway Ridge Intermediate (after school program at Darby Woods)
Holt Crossing Intermediate
Prairie Norton Elementary
Stiles Elementary

Programs Offered:
After Care (PM)
School Age

Register at:
Hilltop YMCA
614-276-8224

Registration Forms (MUST BE COMPLETED)

Registration Form
Child Enrollment & Health Form
- Helpful Hints for Completing Health Forms
Parent Handbook
Child Medical/Physical Care Plan
Request for Administration of Medication
Parent/Guardian Statement of Understanding
Code of Conduct For Parents
Authorization Release Form

Other

Tax Receipt Information
Fee Sheet

Darby Woods Elementary

Programs Offered:
After Care (PM)
Before Care (AM)
School Age

Register at:
Hilltop YMCA
614-276-8224

Registration Forms (MUST BE COMPLETED)

Registration Form
Child Enrollment & Health Form
- Helpful Hints for Completing Health Forms
Parent Handbook
Child Medical/Physical Care Plan
Request for Administration of Medication
Parent/Guardian Statement of Understanding
Code of Conduct For Parents
Authorization Release Form

Other

Tax Receipt Information
Fee Sheet

Harmon Elementary
(After School Program Only)

Serves the following schools:
East Franklin Elementary
Finland Elementary
West Franklin Elementary

Harmon Elementary
(After School Program Only)

Serves the following schools:
East Franklin Elementary
Finland Elementary
West Franklin Elementary

Programs Offered:
After Care (PM)
School Age

Register at:
Hilltop YMCA
614-276-8224

Registration Forms (MUST BE COMPLETED)

Registration Form
Child Enrollment & Health Form
- Helpful Hints for Completing Health Forms
Parent Handbook
Child Medical/Physical Care Plan
Request for Administration of Medication
Parent/Guardian Statement of Understanding
Code of Conduct For Parents
Authorization Release Form

Other

Tax Receipt Information
Fee Sheet

Prairie Lincoln Elementary
(After School Program Only)

Serves the following schools:
Before School Program offered at Darby Woods

Prairie Lincoln Elementary
(After School Program Only)

Serves the following schools:
Before School Program offered at Darby Woods

Programs Offered:
After Care (PM)
School Age

Register at:
Hilltop YMCA
614-276-8224

Registration Forms (MUST BE COMPLETED)

Registration Form
Child Enrollment & Health Form
- Helpful Hints for Completing Health Forms
Parent Handbook
Child Medical/Physical Care Plan
Request for Administration of Medication
Parent/Guardian Statement of Understanding
Code of Conduct For Parents
Authorization Release Form

Other

Tax Receipt Information
Fee Sheet

St. Timothy

Programs Offered:
After Care (PM)
Before Care (AM)
School Age

Register at:
Hilltop YMCA
614-276-8224

Registration Forms (MUST BE COMPLETED)

Registration Form
Child Enrollment & Health Form
- Helpful Hints for Completing Health Forms
Parent Handbook
Child Medical/Physical Care Plan
Request for Administration of Medication
Parent/Guardian Statement of Understanding
Code of Conduct For Parents
Authorization Release Form

Other

Tax Receipt Information
Fee Sheet

Valleyview Elementary

Serves the following schools:
Binns Elementary
Westgate Elementary
West Broad Elementary

Valleyview Elementary

Serves the following schools:
Binns Elementary
Westgate Elementary
West Broad Elementary

Programs Offered:
After Care (PM)
Before Care (AM)
School Age

Register at:
Hilltop YMCA
614-276-8224

Registration Forms (MUST BE COMPLETED)

Registration Form
Child Enrollment & Health Form
- Helpful Hints for Completing Health Forms
Parent Handbook
Child Medical/Physical Care Plan
Request for Administration of Medication
Parent/Guardian Statement of Understanding
Code of Conduct For Parents
Authorization Release Form

Other

Tax Receipt Information
Fee Sheet

Teays Valley Local Schools

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Teays Valley Local Schools

ATTENTION PARENTS: Ashville Elmentary programs held at Walnut Elmentary.

Ashville Elementary

Programs Offered:
School Age

Register at:
Pickaway County YMCA
740-477-1661

Registration Forms (MUST BE COMPLETED)

Registration Form
Child Enrollment & Health Form
- Helpful Hints for Completing Health Forms
Parent Handbook
Child Medical/Physical Care Plan
Request for Administration of Medication
Transporation Form
Swimming Permission Form
Parent/Guardian Statement of Understanding
Code of Conduct For Parents
Authorization Release Form

Other

Tax Receipt Information
Welcome Letter
School Days Off Information

Scioto Elementary

Programs Offered:
School Age

Register at:
Pickaway County YMCA
740-477-1661

Registration Forms (MUST BE COMPLETED)

Registration Form
Child Enrollment & Health Form
- Helpful Hints for Completing Health Forms
Parent Handbook
Child Medical/Physical Care Plan
Request for Administration of Medication
Transporation Form
Swimming Permission Form
Parent/Guardian Statement of Understanding
Code of Conduct For Parents
Authorization Release Form

Other

Tax Receipt Information
Welcome Letter
School Days Off Information

Walnut Elementary

Programs Offered:
School Age

Register at:
Pickaway County YMCA
740-477-1661

Registration Forms (MUST BE COMPLETED)

Registration Form
Child Enrollment & Health Form
- Helpful Hints for Completing Health Forms
Parent Handbook
Child Medical/Physical Care Plan
Request for Administration of Medication
Transporation Form
Swimming Permission Form
Parent/Guardian Statement of Understanding
Code of Conduct For Parents
Authorization Release Form

Other

Tax Receipt Information
Welcome Letter
School Days Off Information

Whitehall School District

VIEW SCHOOLS

Whitehall School District

ATTENTION PARENTS: The YMCA before and after school program in the Whitehall school district is ran at Kae Ave. Elementary. Your child will be bused by the school district to their school each morning and back to Kae Ave. in the afternoon if they attend the YMCA after school program.

Etna, Kae & Beechwood Elementary (at Kae Avenue Elementary)

Programs Offered:
Before Care (AM)
School Age

Register at:
Jerry L. Garver YMCA
614-834-9622

Registration Forms (MUST BE COMPLETED)

Registration Form
Child Enrollment & Health Form
- Helpful Hints for Completing Health Forms
Parent Handbook
Child Medical/Physical Care Plan
Request for Administration of Medication
Parent/Guardian Statement of Understanding
Code of Conduct For Parents
Authorization Release Form

Other

Tax Receipt Information
Fee Sheet

Worthington City Schools

VIEW SCHOOLS

Worthington City Schools

Worthington Estates Elementary

Programs Offered:
After Care (PM)
Before Care (AM)
School Age

Register at:
North YMCA
614-885-4252

Registration Forms (MUST BE COMPLETED)

Registration Form
Child Enrollment & Health Form
- Helpful Hints for Completing Health Forms
Parent Handbook
Child Medical/Physical Care Plan
Request for Administration of Medication
Parent/Guardian Statement of Understanding
Code of Conduct For Parents
Authorization Release Form

Other

Tax Receipt Information
Fee Sheet
Part-time Fee Sheet
Payment Coupons
School Days Off Reg. Packet Mar. 22-26

Child Care Index
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(Full-day infant through Preschool)
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(Description & Curriculum)
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How to Register
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Our Mission: To serve the whole community through programs expressing Judeo-Christian principles
that build a healthy spirit, mind and body.

Locations &Registration Forms

Locations &
Registration Forms