2025-2026 YMCA Before and After School Care Interest Form

2025-2026 YMCA Before and After School Care Interest Form

Please answer all questions if you are interested in registering for a 2025-26 YMCA of Metropolitan Chicago Before and After School Care program or STEAM Club at one of our locations.

Once we establish your interest in this program, we will send an email to you with further information.

Please fill out one interest form (below) per child.

1. Email Address *This question is required. This question requires a valid email address.

2. Child’s First and Last Name *This question is required.

3. Are you already enrolled in a YMCA Before and After School Program? *This question is required.

4. Child's Birth Date *This question is required. This question requires a valid date format of MM/DD/YYYY.

calendar

8. Child's Address, City, State, and Zip Code *This question is required.

Street Address 1
Street Address 2
City
State
Zip Code

9. Name of Sibling(s) in Program

10. Parent’s Name *This question is required.

11. Parent’s Phone Number *This question is required.

13. On what days and what type of care do you need?

Space Cell	Before School Care	After School Care	Before and After School Care
Monday	Monday: Before School Care	Monday: After School Care	Monday: Before and After School Care
Tuesday	Tuesday: Before School Care	Tuesday: After School Care	Tuesday: Before and After School Care
Wednesday	Wednesday: Before School Care	Wednesday: After School Care	Wednesday: Before and After School Care
Thursday	Thursday: Before School Care	Thursday: After School Care	Thursday: Before and After School Care
Friday	Friday: Before School Care	Friday: After School Care	Friday: Before and After School Care

Before and After School Care Programs Available

Name of Program	Type of Program	Location Address
Brighton Park Elementary School	After School Care	3825 S Washtenaw Ave, Chicago, IL 60632
Buehler YMCA STEAM Club	STEAM Club	1400 W. Northwest Hwy., Palatine, IL 60067
Burley Elementary School	Before School Care	1630 W. Barry Ave., Chicago, IL 60657
Burley Elementary School	STEAM Club	1630 W. Barry Ave., Chicago, IL 60657
Elmhurst YMCA STEAM Club	STEAM Club	211 W. 1st St., Elmhurst, IL 60126
Hamilton Elementary School STEAM Club	STEAM Club	1650 W. Cornelia Ave., Chicago, IL 60657
Harriet Tubman Elementary School	After School Care	2851 N Seminary Ave, Chicago, IL 60657

14. Comments?