GREATER WICHITA YMCA 

SUMMER DISCOUNT - JOIN FOR $4

Memorial Day Weekend is the start of our water park season. Join NOW and enjoy unlimited use of the four main benefits of summer membership: 1) 4 Water Parks 2) 9 Locations 3) 800+ Group Exercise Classes 4) Discounts on Programs. Save even more with our 4 for $4 Sale. Don't wait - this offer ends soon.

SUMMER LIFEGUARDS NEEDED - ALL 9 LOCATIONS

ATTENTION - We're looking for summer lifeguards for our indoor pools and outdoor water parks. We offer lower-cost certification and, to qualifying guards, a refund of charges.

Middle School After School Registration Form & Field Trip Waiver

 

Please fill out the fields below to register for the Middle School After School Program with the Greater WIchita YMCA

Please select the middle school the student attends
(First & Last Name)
Please select the income and number of people that match your household
Please select the income and number of people that match your household
Please select the income and number of people that match your household
Please select the income and number of people that match your household
Please select the income and number of people that match your household
Please select the income and number of people that match your household
Please select the income and number of people that match your household
Please select the income and number of people that match your household

Agreement & Signature


I/we the undersigned, parent(s)/guardian(s) having legal custody/legal guardianship of said minor, give permission to attend any of the Middle School After-School Program activities.  The said minor is physically able and mentally prepared to participate in all activities as described for said program.  I/we hereby voluntarily and knowingly assume all risks and dangers inherent and incidental to the activities for which I/we have given my/our permission and thereby will not hold the Wichita YMCA & Wichita Public Schools liable for any injuries incurred during these activities.

  1. I/we do hereby grant permission for the said minor to be transported by a properly insured vehicle as required by (Kansas Law KSA
  2. 40-3107e) to and from the activities associated with the Middle School After-School Program. 
  3. I/we do hereby grant permission for photos of my/our child to be used by the Wichita YMCA & Wichita Public Schools for promotional and   educational purposes.
  4. I/we do hereby grant permission for student surveys to be given to my/our child pertaining the Wichita YMCA & Wichita Public Schools.

My signature below certifies that the information I have provided above is true and accurate under penalty of perjury.

Sign above