minneapolis
Financial Information/Community Report Governance History Mission Media Room
Circle of Women It's Time to Talk
Abbott NorthwesternCityview School Downtown Midtown Minneapolis Sports Center North Commons Uptown
Downtown Midtown Minneapolis Sports Center Uptown Holidazzle at the YWCA
Health & Fitness CentersChild Care CentersCommunity ProgramsJobsVolunteer

Information Form

Please fill in the following information and click the Send Form button. Someone will contact you with more information or to schedule a visit.

Child(ren)'s Information

 Full NameDate of BirthGender
Child 1 Male  Female
Child 2 Male  Female
Child 3 Male  Female

Parent/Guardian's Information

   

Schedule a Visit

Contact me to schedule a visit
I do not wish to schedule a visit at this time

Care Information

1. Please select the type(s) of care you need. We offer full time care only, Monday through Friday.
Check all that apply.

Infant Child Care (6 weeks to 16 months)
Toddler Child Care (16 to 33 months)
Preschool Child Care (33 months to kindergarten)
School Age Care (Kindergarten to Grade 3)


2. Please indicate your location preference.

YWCA Downtown Children's Center
YWCA Midtown Strong Beginnings
YWCA Abbott Northwestern Hospital


3. How did you hear about the YWCA Children's Center?

Website
Brochure
Friend
Parent in the Program
Staff
Other
If Other, please explain:


4. I would like to begin:

On this date:
First Available Opening


5. Is there a brother or sister already in our center or on the waiting list?
   If so, please fill in the following information.

Sibling's Name and Age:
Are you willing to start one child at a time? Yes   No


6. How will your tuition be paid?

No financial assistance needed
County Subsidy
  Program Name
  Contact's Name
  Phone
Other Funding Subsidy
  Program
  Phone


No money is due until your child is accepted. Upon acceptance there is a $60.00 registration fee. An immunization record is required when the child begins the program.