Reynoldsburg YMCA Day Camp at Herbert Mills Elementary School

Our mission is for each child to feel a sense of purpose, belonging and achievement. At Y camp, kids laugh, learn, grow, explore their uniqueness and make life long friends.

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* 1. Would you be interested in enrolling your child (ren) in the YMCA Day Camp located at Herbert Mills Elementary School for the Summer of 2019? Summer Camp Dates: Monday, May 27 through Friday, August 9

Yes

No. I will not be enrolling my child (ren) in day camp this Summer at this time. IF YOU MARK THIS BOX, YOUR SURVEY IS COMPLETE.

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* 2. The YMCA of Central Ohio works with Ohio Department of Jobs and Family Services to receive child care subsidies (Title XX) and TANF (Temporary Assistance for Needy Families) for those who qualify. In addition, the YMCA offers a subsidy based on a sliding fee scale. Would you be interested in receiving these types of assistance?

Yes please - Title XX

Yes please - TANF

Yes please - YMCA Subsidy Assistance

No thank you

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* 3. Day Camp serves children who will currently be in kindergarten through 4th grade. Please mark your child's current grade level.

1st grade

2nd grade

3rd grade

4th grade

5th grade

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* 4. What would be the best hours of care for your child (ren)?

7am-6pm (Before Care 7am-8:30am, Camp 8:30am-3:30pm, After Care 3:30pm-6pm)

7am-3:30pm (Before Care, 7am-8:30am, Camp 8:30am-3:30pm)

8:30am-6pm (Camp 8:30-3:30pm, After Care 3:30-6pm)

8:30am-3:30pm (Camp only)

Other

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* 5. We offer YMCA family member, child/youth member and non member rates for our day camp families. Please choose the type of member your child (ren) will be in the Summer of 2019.

YMCA Family Member

YMCA Youth/Child Member

YMCA Non Member

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* 6. Based on your your membership choice in question #5, find your membership type in this fee diagram. If you are not eligible for the financial assistance programs in question #2, would you be willing to pay the fees? Note: Pricing is based on 2018 Summer Camp pricing. Subject to change.

Family Members:
$125/Week Camp Only
$150/Week with Before Care
$165/Week with After Care
$190/Week Both Before/After Care

Youth/Child Members:
$145/Week Camp Only
$170/Week with Before Care
$185/Week with After Care
$210/Week Both Before/After Care

Non Members:
$165/Week Camp Only
$190/Week with Before Care
$205/Week with After Care
$230/Week Both Before/After Care

Reynoldsburg YMCA Day Camp at Herbert Mills Elementary School

Our mission is for each child to feel a sense of purpose, belonging and achievement. At Y camp, kids laugh, learn, grow, explore their uniqueness and make life long friends.

Question Title

* 1. Would you be interested in enrolling your child (ren) in the YMCA Day Camp located at Herbert Mills Elementary School for the Summer of 2019? Summer Camp Dates: Monday, May 27 through Friday, August 9

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* 3. Day Camp serves children who will currently be in kindergarten through 4th grade. Please mark your child's current grade level.

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* 4. What would be the best hours of care for your child (ren)?

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* 5. We offer YMCA family member, child/youth member and non member rates for our day camp families. Please choose the type of member your child (ren) will be in the Summer of 2019.

Question Title

* 6. Based on your your membership choice in question #5, find your membership type in this fee diagram. If you are not eligible for the financial assistance programs in question #2, would you be willing to pay the fees? Note: Pricing is based on 2018 Summer Camp pricing. Subject to change.

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* 7. What would prevent you from enrolling? Please choose and comment below.

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* 8. Parent Contact Name

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* 9. Child (ren's) Names

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* 10. Parent Contact Email and Phone Number

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* 11. Parent Contact Home Address