Child Care Change/Cancellation Form

Please complete any change in your contact information below

Address, City, State and Zip

Change Before/After School Attendance

Current Attendance
New Attendance

Change Out of School Day Attendance

Change Summer Camp Attendance

New Account Type

Account Type

By submitting this form, I understand:

  • Fees and deposits are non-transferable and non-refundable. I understand there is a $1/minute late pickup fee that will be charged to my account, should I pick up my child after closing time (6 p.m. in Fayette, Jessamine and Scott counties; 5:30 p.m. in Anderson and Franklin counties).
  • Payments are continuous and can only be cancelled or modified by submitting a YMCA Change of Information form at least two-weeks prior to program/session start date. I understand that no credit is given for absences or program cancellations due to inclement weather.
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