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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

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

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

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

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

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

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Scholarship Application Download: English | Español