School Age Child Care Registration | GREATER WICHITA YMCA

School Age Child Care Registration

SACC KDHE forms may only be completed once per calendar year and will be unavailable after completion. Please have available the following information to complete all information required by the State of Kansas before this child may register for SACC.

Estimated time for completion of all information is 45 minutes.

  • Name, address, email, phone numbers and employer contact information for parents/guardians
  • Name, address, phone numbers for authorized emergency contacts/pick-up
  • Physician address and contact information for this child
  • Health insurance information for this child
  • Medical history - including details on allergies, medications, medical surgeries, other conditions for this child
  • Immunization records for this child

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