Youth Program Forms

• Health Appraisal (to be filled out by physician)
• Admission Agreements
• Child Information Record

Return completed forms to Kelly Freye at kfreye@ymcagm.org or drop them off at the Benton Harbor-St. Joseph YMCA.

View All Forms Here

• Immunization records must be sent to the YMCA before camp begins.

• If a child has been enrolled in preschool or Y-Club for the current school year, only the Admission Agreements need to be signed.

Forms must be turned in prior to attending any days of camp. Return completed forms to Marissa Stanage at mstanage@ymcagm.org or drop them off at the Benton Harbor-St. Joseph YMCA. 

Parent Handbook

View All Forms Here

• If a child has been enrolled in preschool or Y-Club for the current school year, only the Admission Agreements need to be signed.

Forms must be turned in prior to attending any days of camp. Return completed forms to Marissa Stanage at mstanage@ymcagm.org or drop them off at the Benton Harbor-St. Joseph YMCA.

Parent Handbook

View All Forms Here

Return completed forms to Kristin McKay-Parrish at kparrish@ymcagm.org or drop them off at the Niles-Buchanan YMCA.

Parent Handbook

Benton Harbor-St. Joseph YMCA Y-Club

St. Joseph Public Schools
Lakeshore Public Schools

• Child Information Record
• Medication Permission & Instructions

Return completed forms to Ryan Kitron at rkitron@ymcagm.org or drop them off at the Benton Harbor-St. Joseph YMCA.

Niles-Buchanan YMCA Y-Club

Niles Community Schools

• Admission Agreements
• Child Information Record

Return completed forms to Paige Carter at pcarter@ymcagm.org or drop them off at the Niles-Buchanan YMCA.

Forms:

• ​Admission Agreements & Child Information Record (English)
• Medication Permission & Instructions (only if needed)
• Immunization Record Form (To be filled out by a physician)

Return forms to Maycie Wise at mwise@ymcagm.org or drop them off at the YMCA O'Brien Center or the Downtown South Bend YMCA.

Indiana Child Care Handbook (English)