OTC Childcare Application
PLEASE NOTE: Submission of this form does not register your child in the OTC Early Childcare program. Please allow up to 3 business days for your application to be processed. Once accepted, you will be emailed the link to register.
ONCE YOU COMPLETE THIS FORM, PLEASE WAIT FOR AN EMAIL FROM THE YMCA WITH NEXT STEPS TO COMPLETE REGISTRATION.
Parent Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Are you an OTC employee
*
Yes
No
Student Information
Rows
Student Name
Age and Birthdate
Student 1
Student 2
Student 3
Student 4
Please select your care:
*
AM Half-Days (1-2 Days per week) Up to 5 hours per day, 7AM-12PM
AM Half-Days (3-5 days per week) Up to 5 hours per day, 7AM-12PM
PM Half-Days (1-2 days per week) Up to 5 hours per day, 12PM-5PM
PM Half Days (3-5 days per week) Up to 5 hours per day, 12PM-5PM
Full days (1-2 days per week) 5 or more hours per day /overlapping times
Full days (3-5 days per week) 5 or more hours per day/overlapping times
APPLICATION ACKNOWLEDGEMENT
*
I understand that submission of this form does not guarantee space in the childcare program. YMCA staff will contact me with next steps to register.
Submit
Should be Empty: