Youth Program Forms

Download and submit all the necessary forms for the youth program your child or teen wishes to participate in. Forms can be dropped off at the Greater Waterbury YMCA or emailed directly to the program director.

School Age Child Care Program Forms

Parent/Guardian Handbook

Health Assessment Form (Physical)

Medication Authorization Form

Individual Plan for Care for Child with Special Health Care Needs or Disabilities

Care4Kids Application

Parent Provider Agreement

Open Doors/Financial Aid

Camp Mataucha Forms

Physical/Health Assessment Record

Yearly Camper Health Form

Administration of Medication Form

Bus Medication Options Form

Sunscreen/Bug Spray Form

Individual Plan of Care Sample Form

Care4Kids- Summer Parent Provider Agreement

Camp Oakasha Forms

Physical/Health Assessment Record

Yearly Camper Health Form

Administration of Medication Form

Bus Medication Options Form

Sunscreen/Bug Spray Form

Individual Plan of Care Sample Form

Care4Kids- Summer Parent Provider Agreement

Questions?

For assistance on filling out forms or for any questions, please contact the Greater Waterbury YMCA.

Contact The Y 203.754.9622