Editing previous response:

Please fix the highlighted areas below before submitting.

St. Michael YMCA Early Learning Application Form

YMCA

HTCSD and St. Michael School are pleased to continue our partnership with YMCA of Regina to offer an Early Learning Program in our school.

All applicants will be contacted by St. Michael administration for an interview before acceptance into the program is given.

Please complete the form below. Required fields marked with an asterisk *

Parent Name:*

Answer Required

Child's Name:*

Answer Required

Child's Date of Birth*

Answer Required

Address:*

Answer Required

Home Phone:*

Number Required

Cell Phone:

Number Required

Parent email address:*

Answer Required

Has your child ever been involved with any outside agencies? (ex: Speech, ECIP, etc)? If yes, please identify:*

Answer Required

Will your child be attending Kindergarten at St. Michael School?*

Answer Required

Yes

I prefer my child to attend: (The YMCA ELC is a half-day program)*

Answer Required

Full Time - Monday to Friday ($125/month)

Part Time - Monday/Wednesday/Scheduled Fridays ($75/month)

Part Time - Tuesday/Thursday/Scheduled Fridays ($75/month)

I prefer my child to attend:*

Answer Required

*Preliminary classs schedules will be given to parents in June. However, within the first few months of school changes may be necessary based upon group dynamics and individual student needs.