YMCA of Central Stark County
Summer Day Camp-Change of Schedule Form
Please fill out the form below and click the “Submit” button to request to add or remove summer day camp weeks for your camper. You will be billed for each registered week as per your registration packet payment policy agreement and your tuition payment is drafted in advance of attendance per your agreed upon draft schedule.
Important information regarding change of schedule requests:
-Requested changes to your schedule are due a minimum of 2 weeks prior to the requested change.
-The request of additional weeks are subject to availability and are not guaranteed. You will be notified if your additional weeks are approved.
-Refunds will not be issued to requests to remove scheduled weeks not made more than 2 weeks prior to the requested change.
Requests for changes in your billing schedule can be made by calling our billing department at 234-215-3566 or by indicating your request in the additional comments field below. Adjustments to billing schedules will be reflected on your account for the next billing period.
Child's Name
*
First
Last
Your Name
*
First
Last
Your Contact Number
*
###
-
###
-
####
Child's Date of Birth
*
MM
/
DD
/
YYYY
Which locations does your child attend?
*
Alliance YMCA
GlenOak High School
Jackson High School
North Canton Middle School
North Canton Child Development Center (Infant-Preschool/Pathfinders)
Lake Community YMCA
Timken Commons
Louisville Middle School
Which Canton City School?
*
Please Select Program
Arts Academy
AIM Academy
Cedar
Harter
Schreiber
Worley
Which Plain School?
*
Please Select Program
Avondale
Barr
Middlebranch
Taft
Warstler
Which Jackson School?
*
Please Select Program
Amherst
Lake Cable
Sauder
Strausser
Which Louisville School?
*
Please Select Program
Louisville Elementary
North Nimishillen Elementary
Which North Canton Child Development Center Room?
*
Please Select Program
Infant Dot Room
Stripes Toddler Room
Stars Toddler Room
Red Room
Orange Room
Yellow Room
Green Room
Blue Room
Purple Room-School Age
Preschool Only
Neon Room
Rainbow Room
Which Lake School?
*
Please Select Program
Lake Primary
Lake Elementary
Future Dates Only.
Date these changes will take effect:
*
MM
/
DD
/
YYYY
Type of schedule change
*
Add
Remove
Cancellation Date
*
MM
/
DD
/
YYYY
Vacation start date
*
MM
/
DD
/
YYYY
Vacation end date
*
MM
/
DD
/
YYYY
Other Reason
*
Additional comments
By adding your email account you agree to the above terms and conditions of your tuition aggreement.
*
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