The Collaborative Interest Form
Please fill in the form below to notify us of your interest for The Collaborative: Ypsilanti YMCA Child Development Center! Upon completing the form, you will be sent an email with further instructions regarding registration. Please email firstname.lastname@example.org with any questions.
Would you like to opt-in to our Collaborative Text Alerts? You will receive an automated reminder when registration is open to have first access. Your information will be kept secure and private.
How many credits are you enrolled in for Fall and/or Winter semester?
Are you interested to enroll your child(ren)? If so, we will contact you with further information.
Please enter the age(s) of your child(ren) in the box below. If you are interested in enrolling more than one child, please separate the ages with a comma (ex: 18 months, 2 years)
Which term do you need childcare for?
We are piloting an evening care option this winter based on students' needs. Do you need evening (5pm-9:30pm) care? If so, what evenings would you need?
Are you interested in learning more and/or participating in the student organization, EMU Students with Children?
Any further questions or comments?
Should be Empty: