MASKS REQUIRED

Due to ongoing COVID-19 concerns, everyone who enters a YMCA facility must wear a mask or face covering.

Afterschool Hold Request

Please Note:

Two weeks written notice is required to place your care on hold.

A confirmation email will be sent to the email provided below once the hold has been processed.

First & Last Name:

Email Address:

Home Phone:

Address:

Address 2:

City:

State:

Zip Code:

Cell Phone Number:

Child(rens) Name(s)

After School Care Location:

Last Day In Program?:

Returning Date?:

Reason for Afterschool program hold?: