Temporary Program Guide Form

Program Planning and Submission

Please use this form to plan new programs & events and/or update existing programs & events. Once complete, submit to the Marketing Department 4-6 weeks prior to the program or event start date or before the next Program Guide deadline.
STANDARD INFORMATION
Your Name*
Email
example@example.com
Job Title*
Department*
Branch*
Has your supervisor approved this program (or are you the Program Executive over this program)? If not, please submit this form after you've received approval from your supervisor.*

Yes (proceed)No (do not submit)
MARKETING SUPPORT
Please choose all Marketing Support that you are requesting:*

Include in next Program GuideAdd to Website/Update existing webpageFlyer approval (please attach file below)Flyer creationMember NewsletterFacebook PostsFacebook EventSchool District distribution (only for youth programs)
Attach flyer file for approval, if applicable.

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PROGRAM INFORMATION
What is the status of this program?*

New ProgramExisting Program (already represented on website but requires updates)
What type of event are you planning? (Choose one) - Read from left to right.*

Wellness WorkshopWellness ChallengeNew GroupEx ClassOutdoor Fitness ExcursionWellness Program (Other)Wellness Special EventSwim Lessons (Group)Swim Lessons (Private)Aquatics Program (Other)Aquatics Special EventLifeguard CourseCPR/First AidYouth Enrich./AfterschoolPreschoolLive Y'ersYouth SportsBreak CampsOvernight CampsTeen Leadership/Gov'tTeen Hiking CampTeen Special EventYouth & Fam MealsYouth & Fam Special EventsYouth & Family ResourcesBIPOC Family EventCAC ProgramClallam Resilience ProjectMembership EventMembership RecruitmentNational Campaign EventOther
Please choose all Branches involved/included:*

YMCA of Jefferson County, 1925 Blaine St., Port Townsend, WA 98368YMCA of Port Angeles, 302 S. Francis St., Port Angeles, WA 983862YMCA of Sequim, 610 N. 5th Ave., Sequim, WA 98382Olympic Peninsula YMCA, 610 N. 5th Ave., Sequim, WA 98382
PROGRAM TITLE, as you want to see it PUBLISHED: Example, "Wellness Workshop: Understanding Your Metabolism":*
PROGRAM SUBTITLE (if applicable), as you want to see it PUBLISHED. Example, "Why your diet is only one part of the whole picture":
SHORT DESCRIPTION of program, as you want to see it PUBLISHED.*
DAXKO REGISTRATION LINK: (if you have it)
REGISTRATION OPENS: Date REGISTRATION CLOSES: Date.
DAY OF THE WEEK OF THE PROGRAM (Please do not abbreviate): Example "Monday"
PROGRAM START DATE (please do not abbreviate into 11/19/24 format): Example "November 30th, 2024" *
PROGRAM START TIME:*

Hour Minutes

AM/PM Option
PROGRAM END TIME:

Hour Minutes

AM/PM Option
NOTES ABOUT TIME: Example, do you need to note pick-up/drop-off times? Is it different times from day-to-day? Please explain.
ADDRESS THAT PROGRAM WILL TAKE PLACE:

YMCA of Jefferson County, 1919 Blaine Street, Port Townsend, WA 98368YMCA of Jefferson County, 1925 Blaine Street, Port Townsend, WA 98368YMCA of Port Angeles, 302 S. Francis St., Port Angeles, WA 98362YMCA of Sequim, 610 N. 5th Ave., Sequim, WA 98382Other
PARKING INSTRUCTIONS (or any other location instructions):
AGES OF PARTICIPANTS (or grades of participants) if applicable:
PROGRAM PRICE: $25 Y Members / $35 Non Y Members or Free for Y Members; $15 for Non Y Members*
ANY EXTRA FEES: Are there any materials fees or any other extra fees participants need to be aware of? If so, please elaborate.
CONTACT INFORMATION FOR THE PROGRAM: Example, "Charles Alice, Youth Sports Coordinator, 360-504-0525, calice@olympicpeninsulaymca.org."
ANY OTHER INFORMATION YOU WOULD LIKE TO PROVIDE ABOUT THE PROGRAM (please explain):
ANY OTHER INFORMATION YOU WOULD LIKE TO SUBMIT REGARDING THE PROGRAM:

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Should be Empty:

Program Planning and Submission

STANDARD INFORMATION

MARKETING SUPPORT

PROGRAM INFORMATION