School Age Change of Status Form

If you need to change the scheduled days your child is in our Before and After School Care or Summer Camp, a Change of Status form must be completed.

Step 1: Fill out the Change of Status form with all the necessary information (please make sure changes are clear).

Step 2: Send form to the YMCA either by Fax – 309 692 4892 or Email –

Step 3: Follow up with the YMCA to ensure your fax or email was received.  Call Ellen on 309 693 7631 ext. 216

Website and Design: Indesign Web