Program Fee Donations

Thank you for choosing to support the Y.

Please complete the form below to donate your 2019-2020 School Age Child Care or Preschool program deposit to support the Fanwood-Scotch Plains YMCA. Your tax-deductible gift will help support the Y’s services and operations through our closure. Thank you for your continued support!

Name of Person Submitting Form *

First

Last

Name of Program Participant *

First

Last

Please submit a separate form for each program participant.

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

I would like to: *

Convert 2019-2020 School Age Child Care deposit to a gift in support of the Fanwood-Scotch Plains YMCA during the COVID-19 closure.
Convert 2019-2020 Preschool deposit to a gift in support of the Fanwood-Scotch Plains YMCA during the COVID-19 closure.
Convert 2020-2021 School Age Child Care deposit to a gift in support of the Fanwood-Scotch Plains YMCA during the COVID-19 closure.

Please enter the name of the program(s) you or your family member were enrolled in: *

Today's Date: *

I understand that I am choosing to convert a program deposit to a tax-deductible donation to the Fanwood-Scotch Plains YMCA and that I will not receive a credit or refund for this deposit. Please sign by entering your name in the space provided. *

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Thank you for choosing to support the Y.

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Thank you for choosing to support the Y.

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