YMCA office phone (360) 385-5811
fax (360) 385-5811

Child Care staff (360) 531-2914 / (360) 531-2923

YMCA FORMS


Y-KIDS CHILDCARE & CAMP FORMS

Download & print Child Care Registration Forms or contact the YMCA for a registration packet.

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Note: Families enrolled in Y-Kids After-School Child Care or Camps

only need to complete the following forms:

Jefferson County YMCA 2009 to 2010 fall re-registration form

USDA Child & Adult Food Program Enrollment Form

EFT (Electronic Funds Transfer)/Automatic Payment Form (if using EFT payments)

You will also be required to update immunization records we have on file

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CHILD CARE FORMS

Jefferson County YMCA Family Information

 

Jefferson County YMCA Y's Kids Registration Form

or for returning families:

Jefferson County YMCA 2009 to 2010 fall Re-Registration Form

Jefferson County YMCA Supplement Registration Page

 

Certificate of Immunization Status ENGLISH

Certificado del estado de vacunación SPANISH

(we encourage immunizations for all children)

or, you may complete one of the Exemption forms below:

Certificate of Immunization Exemption ENGLISH

Certificado de Exención SPANISH

Jefferson County Health Department: Required Immunizations

(Parents/guardians may sign a Certificate of Immunization Exemption form)

Jefferson County YMCA After-school Acknowledgements

Jefferson County YMCA Child Care Assistance Letter

USDA Child & Adult Food Program Enrollment Form

(we receive USDA funding for the snacks we provide)

Parent Handbook

EFT (Electronic Funds Transfer)/Automatic Payment Form

The Jefferson County Family YMCA Child-Care Programs operate under the child-care license of the  Clallam County Family YMCA

Clallam County Family YMCA website: http://www.ccfymca.org/childcare.html 

 

 

RENTAL / LEASE FORMS

 YMCA Rental Agreement

 

YMCA DONATION FORMS

Annual Campaign Letter

YMCA Donation Form

 

CHILDCARE / CAMP FORMS

REGISTRATION FORMS

Childcare 2009-2010 Fall Re-Registration

Childcare 2009-2010 Registration

 

Childcare Supplemental Registration Form

IMMUNIZATION FORMS

Certificate of Immunization StatusCertificado del Estado de Vacunación

Certificate of Immunization ExemptionCertificado de Exención

USDA FOOD PROGRAM FORM

USDA Food Program Enrollment Form

EFT ( ELECTRONIC FUNDS TRANSFER ) FORM

EFT / Automatic Payment Form

OTHER CHILDCARE FORMS:

After-school Acknowledgements

Childcare Parent Handbook