Child Care Inquiry 2022 | YMCA of the Fox Cities

Full-time Child Care (5 days per week, 5-10 hours of care per day)

Please enter your location preference with 1 being your first choice and 4 being your last choice. If you require part-time care, please enter Not Interested for all locations.

Questions	1	2	3	4	Not Interested
Appleton YMCA Early Learning Center 218 E Lawrence St Appleton, WI 54911	1	2	3	4	Not Interested
YMCA Child Learning Center 4630 N Meade St Appleton, WI 54913	1	2	3	4	Not Interested
Fox West YMCA Mary Beth Nienhaus Early Education Center W6931 School Rd Greenville, WI 54942	1	2	3	4	Not Interested
Neenah-Menasha YMCA Child Development Center 110 W North Water St Neenah, WI 54956	1	2	3	4	Not Interested

Part-time Child Care (less than 5 days per week and/or less than 5 hours per day)

Please enter your location preference with 1 being your first choice and 4 being your last choice. If you require full-time care please enter Not Interested for all locations.

Questions	1	2	Not Interested
Apple Creek YMCA 2851 E. Apple Creek Rd. Appleton, WI 54913	1	2	Not Interested
Appleton YMCA Play and Learn 218 E Lawrence St Appleton, WI 54911	1	2	Not Interested

For part-time care, please indicate the days of the week and number of hours of care needed per day.

Desired Start Date

If your child is not born yet, please enter an approximate date.

Please check this box if your start date is flexible.

Parent's Name(s)

First

Last

First

Last

Preferred Email

Preferred Phone Number

Child(ren)'s Names

If your child is not born yet please enter "Baby" in the first name field and baby’s due date in the Date of Birth field.

First

Last

Child's Date of Birth

First

Last

Child's Date of Birth

First

Last

Child's Date of Birth

Is there any other information you would like us to know or any questions you have at this time?

CAPTCHA

This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.

Security question: What color is the grass?