Child’s First Name Last Name BirthdateRegistration and Consent Forms • June 6th, 2011
Contract Type FiledJune 6th, 2011Program & Plan Selection Registration Fee Licensed Program Registration Information Allergies Information Permissions Form Admissions Agreement YMCA Release and Waiver of Liability and Indemnity Agreement for Minors LIC 700 Identificiation and Emergency Information LIC 702 Child’s Preadmission Health History LIC 627 Consent for Emergency Medical Treatment LIC 613A Personal Rights LIC 995 Notification of Parent’s Rights AB 2370 Lead Bill Flyer (For parent to keep) Licensed Program ATS Application