YMCA office phone (360)
385-5811
fax (360) 385-5811
Child Care staff (360) 531-2914 / (360) 531-2923
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)
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