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Child’s Pre-admission Health History – Parent’s Report (LIC 702)

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Consent for Emergency Medical Treatment (LIC 627)

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Identification and Emergency Information Form (LIC 700)

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IMS Physician Checklist and Training Log for Blood-Glucose Monitoring

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IMS Physician Checklist and Training Log for Epi-Pens

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IMS Physician Checklist and Training Log for Glucagon

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IMS Physician Checklist and Training Log for Inhaled Medication and Nebulizer Consent (LIC 9166)

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Notification of Parents’ Rights (LIC 995)

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Parent Code of Conduct

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Personal Rights (LIC 613A)

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Y Club Registration Form – Magdalena Ecke Family Y

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

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24-703 Parent-Provider Agreement

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24-727 HHSA Health and Safety Checklist

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24-760 Three Day Absence

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24-778 Statement of Relationship of Provider and Child

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24-792 Release for Non-Subsidized Parent

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Attendance Sheet (Sample)

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Attendance Sheet Checklist Guidelines

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

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

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

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Change of Address Form (Alternative Payment Provider)

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License Exempt Center Self-Certification

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Lost Check Declaration

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Self-Declaration – Stage 1 (Attendance Sheets on Hold)

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Stage 1 Child Care Program Handbook

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Autism Society San Diego Photo Waiver

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Camp Inclusion and Request for Special Assistance Form

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Day Camp Employee Referral Form

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Release of Liability with Code of Conduct (Adult)

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 Release of Liability with Code of Conduct (Minor)

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YMCA Concussion Compliance Protocol

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

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Medical Information

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Permission to Administer Medication

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Physician’s Care Form

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

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American Bicycle Assoc Waiver for Rancho Family YMCA

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Archery House Waiver at Cameron Family YMCA

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Archery House Waiver for John A. Davis Family YMCA

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Archery House Waiver for Magdalena Ecke Family YMCA

 

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Archery House Waiver for McGrath Family YMCA

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California State University San Marcos Waiver for Magdalena Ecke Family YMCA

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De Leon Arial Fitness (Parkour) Waiver for Magdalena Ecke Family YMCA

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Del Mar Junior Lifeguards Waiver for Rancho Family YMCA

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Del Mar Junior Lifeguards Waiver for Rancho Family YMCA

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Grotto Climbing and Yoga Waiver for McGrath Family YMCA

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Hike Bike Kayak Sports Waiver for Dan McKinney Family YMCA

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Ice-plex Waiver for Palomar Family YMCA

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Imagine Kids Planet Camp – Gizmos and Gadgets Kids Lab Waiver for Dan McKinney Family YMCA

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Imagine Kids Planet Camp – Gizmos and Gadgets Kids Lab Waiver for Peninsula Family YMCA

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Inflatable World Corp Waiver for McGrath Family YMCA

 

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Liability Waiver for City of Encinitas

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Miller Equestrian Services and Valle Vista Farm Waiver for Magdalena Ecke Family YMCA

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Mission Bay Aquatic Center Waiver for Dan McKinney Family YMCA

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Mission Bay Aquatic Center Waiver for Dan McKinney Family YMCA

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Mission Bay Aquatic Center Waiver for Dan McKinney Family YMCA

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Mission Bay Aquatic Center Waiver for Peninsula Family YMCA

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Mr. Paintball Waiver for Dan McKinney Family YMCA

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Mr. Paintball Waiver for Magdalena Ecke Family YMCA

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Mr. Paintball Waiver for Palomar Family YMCA

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Mr. Paintball Waiver for Peninsula Family YMCA

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Mr. Paintball Waiver for Rancho Family YMCA

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Paintball Park Waiver for Joe and Mary Mottino Family YMCA

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Paintball Park Waiver for Palomar Family YMCA

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Pump It Up Waiver for McGrath Family YMCA

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Pump It Up Waiver for Peninsula Family YMCA

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San Diego Ice Arena Waiver at John A. Davis Family YMCA

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San Diego Ice Arena Waiver for Cameron Family YMCA

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San Diego Ice Arena Waiver for Dan McKinney Family YMCA

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San Diego Ice Arena Waiver for Joe and Mary Mottino Family YMCA

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San Diego Ice Arena Waiver for Magdalena Ecke Family YMCA

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San Diego Ice Arena Waiver for Magdalena Ecke Family YMCA

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San Diego Ice Arena Waiver for Peninsula Family YMCA

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San Diego Ice Arena Waiver for Rancho Family YMCA

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USA BMX Waiver at Cameron Family YMCA

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USA BMX Waiver at John A. Davis Family YMCA

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USA BMX Waiver for Dan McKinney Family YMCA

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USA BMX Waiver for Magdalena Ecke Family YMCA

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Vertical Hold Rock Climbing Gym Waiver at John A. Davis Family YMCA

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Vertical Hold Rock Climbing Gym Waiver for Cameron Family YMCA

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Vertical Hold Rock Climbing Gym Waiver for Dan McKinney Family YMCA

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Vertical Hold Rock Climbing Gym Waiver for Davis

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Vertical Hold Rock Climbing Gym Waiver for McGrath Family YMCA

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Vertical Hold Rock Climbing Gym Waiver for Peninsula Family YMCA

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Vertical Hold Rock Climbing Gym Waiver for Rancho Family YMCA

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YMCA Surf Camp Waiver for Magdalena Ecke Family YMCA

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Scholarship Application

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