After School Program - YMCA of Sequim
Interest form. Please complete this form if you would like more information about registering your child(ren) for After School Youth Programing offered for the 2025/26 school year, in Sequim, WA. Space in this program will be limited, so please complete this form as soon as possible to receive more information.
Official registration for this program is coming soon. You will be contacted with more details.
Your Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
How many children are you interested in enrolling?
*
Ages of children you would like to enroll?
*
What school(s) will your children be enrolled in during the 2025/2026 school year?
*
If available, would your child need transportation to the YMCA of Sequim for this program?
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Yes
No
What, if anything, would be a hardship or barrier to enrolling your child(ren) in this program? Select all that apply.
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I need more information about the program cost, hours, activities, etc. before I decide.
I'm not sure my kid(s) will like it.
I'm concerned the schedule won't work for my family.
I'm uncertain about our family's schedule/availability/needs so I can't commit this far in advance; but I want information.
I have childcare planned elsewhere, but am interested in programming that is more structured and engaging for my child(ren), so I am considering the Y.
I have financial concerns.
Other
You mentioned that financial concerns are a factor in your decision making. If you don't mind, would you be willing to check all that apply to your situation?
I'm concerned that cost is more than I can spend.
I would need a payment plan.
I have multiple children and I'm concerned about the cost.
I don't think I will qualify for financial assistance, but cost is a factor.
Other
If your barriers mentioned above, were addressed to your satisfaction, how likely are you to enroll your child(ren) in this 2025/2026 school year?
Low likelihood
1
2
3
4
With certainty
5
1 is Low likelihood, 5 is With certainty
**BONUS QUESTION** We are considering expanding our programming offerings. Do you also have a need for pre-school aged (2.5 - 5 years old) care during the day?
Yes
No
Thank you for completing this form. Someone will be getting back to you as soon as our program registration is open, to answer questions and/or get your child(ren enrolled).
Submit
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