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PDF copies of our forms are available for you to download, print, and fill-out at home before visiting your local Y.

If you have any questions, please contact us for assistance.

Before and After School

Child's Pre-admission Health History - Parent's Report (LIC 702) Download: English |
Consent for Emergency Medical Treatment (LIC 627) Download: English |
Identification and Emergency Information Form (LIC 700) Download: English |
IMS Physician Checklist and Training Log for Blood-Glucose Monitoring Download: English |
IMS Physician Checklist and Training Log for Epi-Pens Download: English |
IMS Physician Checklist and Training Log for Glucagon Download: English |
IMS Physician Checklist and Training Log for Inhaled Medication and Nebulizer Consent (LIC 9166) Download: English |
Notification of Parents' Rights (LIC 995) Download: English |
Parent Code of Conduct Download: English |
Personal Rights (LIC 613A) Download: English |
Y Club Registration Form - Magdalena Ecke Family Y Download: English |
Community Support

24-404 Parent and Licensed Provider / License-Exempt Center Fee Agreement Download: English | Español
24-703 Parent-Provider Agreement Download: English | Español
24-727 HHSA Health and Safety Checklist Download: English | Español
24-760 Three Day Absence Download: English | Español
24-778 Statement of Relationship of Provider and Child Download: English | Español
24-792 Release for Non-Subsidized Parent Download: English | Español
Attendance Sheet (Sample) Download: English | Español
Attendance Sheet Checklist Guidelines Download: English | Español
CCP-1 Declaration of Exemption from Trustline Registration and Health and Safety Self-Certification Download: English | Español
CCP-4 Health and Safety Self-Certification for License-Exempt Providers Download: English | Español
Certification of Receipt and Understanding of YMCA CRS Stage 1 Child Care Program Handbook Download: English | Español
Change of Address Form (Alternative Payment Provider) Download: English |
License Exempt Center Self-Certification Download: English |
Lost Check Declaration Download: English |
Self-Declaration - Stage 1 (Attendance Sheets on Hold) Download: English | Español
Stage 1 Child Care Program Handbook Download: English | Español
General

Autism Society San Diego Photo Waiver Download: English | Español
Camp Inclusion and Request for Special Assistance Form Download: English |
Day Camp Employee Referral Form Download: English |
Release of Liability with Code of Conduct (Adult) Download: English | Español
Release of Liability with Code of Conduct (Minor) Download: English | Español
YMCA Concussion Compliance Protocol Download: English |
Medical

Camp Medical Form Bundle - Includes Liability and Concussion Waiver, Medication, and Physician Forms Download: English | Español
Medical Information Download: English | Español
Permission to Administer Medication Download: English | Español
Physician's Care Form Download: English | Español
Summerbridge Medical Form Bundle - Includes Liability and Concussion Waiver, Medication, and Physician Forms Download: English | Español
Camp Waivers

American Bicycle Assoc Waiver for Rancho Family YMCA Download: English |
Archery House Waiver at Cameron Family YMCA Download: English |
Archery House Waiver for John A. Davis Family YMCA Download: English |
Archery House Waiver for Magdalena Ecke Family YMCA Download: English |
Archery House Waiver for McGrath Family YMCA Download: English |
California State University San Marcos Waiver for Magdalena Ecke Family YMCA Download: English |
De Leon Arial Fitness (Parkour) Waiver for Magdalena Ecke Family YMCA Download: English |
Del Mar Junior Lifeguards Waiver for Rancho Family YMCA Download: English |
Del Mar Junior Lifeguards Waiver for Rancho Family YMCA (2) Download: English |
Grotto Climbing and Yoga Waiver for McGrath Family YMCA Download: English |
Hike Bike Kayak Sports Waiver for Dan McKinney Family YMCA Download: English |
Ice-plex Waiver for Palomar Family YMCA Download: English |
Imagine Kids Planet Camp - Gizmos and Gadgets Kids Lab Waiver for Dan McKinney Family YMCA Download: English |
Imagine Kids Planet Camp - Gizmos and Gadgets Kids Lab Waiver for Peninsula Family YMCA Download: English |
Inflatable World Corp Waiver for McGrath Family YMCA Download: English |
Liability Waiver for City of Encinitas Download: English |
Miller Equestrian Services and Valle Vista Farm Waiver for Magdalena Ecke Family YMCA Download: English |
Mission Bay Aquatic Center Waiver for Dan McKinney Family YMCA Download: English |
Mission Bay Aquatic Center Waiver for Davis Download: English |
Mission Bay Aquatic Center Waiver for McGrath Family YMCA Download: English |
Mission Bay Aquatic Center Waiver for Peninsula Family YMCA Download: English |
Mr. Paintball Waiver for Dan McKinney Family YMCA Download: English |
Mr. Paintball Waiver for Magdalena Ecke Family YMCA Download: English |
Mr. Paintball Waiver for Palomar Family YMCA Download: English |
Mr. Paintball Waiver for Peninsula Family YMCA Download: English |
Mr. Paintball Waiver for Rancho Family YMCA Download: English |
Paintball Park Waiver for Joe and Mary Mottino Family YMCA Download: English |
Paintball Park Waiver for Palomar Family YMCA Download: English |
Pump It Up Waiver for McGrath Family YMCA Download: English |
Pump It Up Waiver for Peninsula Family YMCA Download: English |
San Diego Ice Arena Waiver at John A. Davis Family YMCA Download: English |
San Diego Ice Arena Waiver for Cameron Family YMCA Download: English |
San Diego Ice Arena Waiver for Dan McKinney Family YMCA Download: English |
San Diego Ice Arena Waiver for Joe and Mary Mottino Family YMCA Download: English |
San Diego Ice Arena Waiver for Magdalena Ecke Family YMCA Download: English |
San Diego Ice Arena Waiver for McGrath Family YMCA Download: English |
San Diego Ice Arena Waiver for Peninsula Family YMCA Download: English |
San Diego Ice Arena Waiver for Rancho Family YMCA Download: English |
USA BMX Waiver at Cameron Family YMCA Download: English |
USA BMX Waiver at John A. Davis Family YMCA Download: English |
USA BMX Waiver for Dan McKinney Family YMCA Download: English |
USA BMX Waiver for Magdalena Ecke Family YMCA Download: English |
Vertical Hold Rock Climbing Gym Waiver at John A. Davis Family YMCA Download: English |
Vertical Hold Rock Climbing Gym Waiver for Cameron Family YMCA Download: English |
Vertical Hold Rock Climbing Gym Waiver for Dan McKinney Family YMCA Download: English |
Vertical Hold Rock Climbing Gym Waiver for Davis Download: English |
Vertical Hold Rock Climbing Gym Waiver for McGrath Family YMCA Download: English |
Vertical Hold Rock Climbing Gym Waiver for Peninsula Family YMCA Download: English |
Vertical Hold Rock Climbing Gym Waiver for Rancho Family YMCA Download: English |
YMCA Surf Camp Waiver for Magdalena Ecke Family YMCA Download: English |
Scholarship

Scholarship Application Download: English | Español