School Age Registration
2011 – 2012 School Year
Registrations are now being accepted for the 2011 – 2012 school year. All families wishing to take part in
the Before and Afterschool Programs will need to be registered by August 26th, 2011 in order to receive care the 1st week of school. Any registrations received after August 26 will have a start date of September 12, 2011.

How to Register
The following forms (found below) must be completed and submitted to the School Age Program Office at least two business days in advance of attending with us. The forms may be found at the bottom of the page.

• Parent Confirmation and Agreement
• Payment and Policies Agreement Form
• Health Form (a separate one is needed for each child)

Please complete each form to the best of your ability. If you are unsure of the days of attendance, please mark the days that your child will most likely be attending. When you have completed the forms please return them to the School Age Child Care Program Office (address is below) with the registration fee. The registration fee for the for the school year is $50 for 1 child or $75 for 2+ children. Registrations may not be faxed.  

A confirmation letter will be sent to you confirming your days of attendance, package choice and monthly payment. If any of the information has changed (phone numbers, days of attendance, package choice), please contact your Regional Child Care Office. Please note that payments are due on the first of the month.

Registration can be mailed or dropped by our office during business hours. No faxes, please.

YMCA
Child Care Program Office
9500 SW Barbur Boulevard, Suite 240
Portland, Oregon 97219

Forms
Parent Handbook
Parent Confirmation and Agreement 
Payment Policies and Agreement
Health Form
Bank Card Draft
Charge Card Draft