WEST SIDE YMCA TENDER CARE APPLICATION

WEST SIDE YMCA MONTHLY TENDER CARE FEES

	2 days a week	3 days a week	5 days a week
Tender Care I 8AM - 6PM	$1650	$2260	$2675
Tender Care I Half Day 9AM -3PM	$1340	$1850	$2370
Tender Care II & III & IV 8AM - 6PM	$1340	$1850	$2475
Tender Care II & III & IV, Half Day 9AM -3PM	$1300	$1440	$2220

To schedule a tour, please call the Early Childhood Office at (212) 912-2652 or email bsieling@ymcanyc.org. Tours are for parents only and begin at 9:30am.

Our Scheduled Tours are:

Tuesday, October 2nd, Wednesday, October 17th, Tuesday, October 23rd, Thursday, November 1st, Wednesday, November 14th, Thursday, December 6th, Tuesday, January 9th, or Thursday, January 24th

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Child's General Information
First Name
Last Name
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Gender* This field is required.
Male
Female
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Date of Birth* This field is required.
Date
Month
Day
Year
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Birthplace* This field is required.
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Please list the full names of all household family members.* This field is required.
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Name* This field is required.
First Name
Last Name
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Relationship to Child* This field is required.
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Full home address include apt #, state & zip* This field is required.If child has more than one home, you may enter that address in the secondary parent information
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Email
example@example.com
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Phone Number
Area Code
Phone Number
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Name
First Name
Last Name
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Relationship to Child
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Child's full home address include apt #, state & zip
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Email
example@example.com
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Phone Number
Area Code
Phone Number
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Please list all siblings full name, birth date and school attendingIf your child does not have any siblings please click next
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I wish to enroll my child in the:* This field is required.Age as of September 1, 2019
6 months to 2 years old
2 years old
3 years old
4 and 5 years old
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Please indicate the maximum number of days required. Days chosen for part time schedules (2, 3, or 5 days per week) can be modified at the time of enrollment at your request depending upon availability.* This field is required.
8AM-6PM
9PM-3PM
Monday
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Briefly describe your child's personality/temperament:
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Please describe your child's general health history (allergies, services, concerns):
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Please describe your child's speech and use of language.
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Please describe any separation experiences your child has had.
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Additional Information: Please use this space for any other information about your child and/or family that you'd like us to know.
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What languages does your child speak?* This field is required.
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What is the primary language spoken in your home?* This field is required.
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How did you learn about our school?* This field is required.
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Does your child currently attend an early childhood program?* This field is required.
Yes
No
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Which early childhood program do they currently attend?* This field is required.
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Other programs attended by your child (including art, music, gymnastics, and swimming):
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Are you a member of the West Side YMCA?* This field is required.
Yes
No
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Do you expect to apply for financial aid?If so, please download and return form to bsieling@ymcanyc.org following the completion of this application. If you do not wish to apply, please click next.
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How much did you enjoy our application?
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