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

24-404 Parent and Licensed Provider / License-Exempt Center Fee Agreement

Download: English | Espanol

24-703 Parent-Provider Agreement

Download: English | Espanol

24-727 HHSA Health and Safety Checklist

Download: English | Espanol

24-760 Three Day Absence

Download: English | Espanol

24-778 Statement of Relationship of Provider and Child

Download: English | Espanol

24-792 Release for Non-Subsidized Parent

Download: English | Espanol

Attendance Sheet (Sample)

Download: English | Espanol

Attendance Sheet Checklist Guidelines

Download: English | Espanol

CCP-1 Declaration of Exemption from Trustline Registration and Health and Safety Self-Certification

Download: English | Espanol

CCP-4 Health and Safety Self-Certification for License-Exempt Providers

Download: English | Espanol

Certification of Receipt and Understanding of YMCA CRS Stage 1 Child Care Program Handbook

Download: English | Espanol

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 | Espanol

Stage 1 Child Care Program Handbook

Download: English | Espanol

Autism Society San Diego Photo Waiver

Download: English | Espanol

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 | Espanol

 Release of Liability with Code of Conduct (Minor)

Download: English | Espanol

YMCA Concussion Compliance Protocol

Download: English |

Camp Medical Form Bundle – Includes Liability and Concussion Waiver, Medication, and Physician Forms

Download: English | Espanol

Medical Information

Download: English | Espanol

Permission to Administer Medication

Download: English | Espanol

Physician’s Care Form

Download: English | Espanol

Summerbridge Medical Form Bundle – Includes Liability and Concussion Waiver, Medication, and Physician Forms

Download: English | Espanol

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

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 Dan McKinney Family YMCA

Download: English |

Mission Bay Aquatic Center Waiver for Dan McKinney 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 Magdalena Ecke 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 Application

Download: English | Espanol

Youth & Family
Ready to Join?

We have family membership options that include either one or two adults with children 17 and under.

Seniors
Adults
Ready to Join?

The YMCA of San Diego County offers programs to adults of all ages and types.

Camp
Health & Wellness
Community Services
Overview

At the Y we have Community Resources that are based on community need to connect you with information, support, assistance, and resources.