Childcare Waitlist

Thank you for your interest in Childcare at the Y! Please fill out the form below to add your child to the waitlist.

Parent First Name *

Parent Last Name *

Phone Number *

Email Address *

Child First Name *

Child Last Name *

Child Date of Birth *

Month

Day

Year

Choose a Childcare Program *

Toddler Little Angels (Downtown) - Full Day

Toddler Main - Full Day

Preschool Little Angels (Downtown) - Full Day

Preschool Main Y - Full Day

Preschool Little Angels (Downtown) - Half Day

Preschool Main - Half Day

Preferred Start Date *

Month

Day

Year

I understand by submitting my child to this waitlist, I agree that if my contact information should change it is my responsibility to call the YMCA childcare department to give them updated information. *

Yes, I understand

I understand that after I have been contacted by phone/email, I have 48 hours to reply, or my name will be taken off the list and the Y will fill the opening with another child. *

Yes, I understand

I understand that if enrolling my child in a 3- 5 year old in a classroom indicates that they are FULLY potty trained. Fully potty-trained means they are self-sufficient (able to handle the whole process in the bathroom with little or no help). *

Yes, I understand

Leave this field blank

Valparaiso Family YMCA

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Valparaiso Family YMCA

Childcare Waitlist

You are here

Mission Statement

Connect