I authorize you and the financial institution indicated to initiate electronic Debit entries to my account to be payable to the order of the La Crosse Area Family YMCA. I agree that your rights in respect to each such check shall be the same as if it were a check drawn on you and signed personally by me. The authority is to remain in effect until revoked by me in writing, and until you actually receive such notice I agree that you shall be fully protected in honoring any such check. I further agree that if any such check be dishonored, whether with or without cause and whether intentionally or inadvertently, you shall be under no liability whatsoever even though such dishonor results in the forfeiture of childcare.
Registration and Payment Agreement
I certify that the applicant is capable of participating in the School Age Program. I agree with the policies put forth in the La Crosse Area Family YMCA School Age Care Family Handbook. Rev. 1-12-2018.
I understand that the $30 registration fee is non-refundable and non transferable. Monthly fees for this program are due on the 1st of every month for that month’s care and failure to pay fees by the 1st of the month may result in being dis-enrolled from the program. I understand fees are established based on schedule, not attendance. This is a flat monthly fee with no credit for time off, holidays, vacations, or temporary suspensions and no child care payment will be required for June.
Notice of cancellation or changes is required 2 weeks prior to the 1st of the month of care for any withdrawal from the program or schedule changes. These changes must be emailed to childcarebilling@laxymca.org.