Childcare, Camp and Preschool Forms

Health History and Intake

The health history intake form is required so that YMCA staff have the needed information in case of emergency, to contact families and to help your child/camper be successful in our programs. Be sure to include two emergency contacts that are different than the primary or secondary guardian. This form also helps us to assign huddles, give counselors insights and help with check-in and check-out each day. All information is confidential and is only given to staff on an as-needed basis.

Physical and Immunization Forms

• Required Medical Forms for Preschool, School-Aged Childcare and Camp
• Formulario de información médica/Informe de examen físico integral

In accordance with Virginia licensing requirements, the PHYSICAL and IMMUNIZATION RECORDS for children 2 through 5 years of age must be provided annually and have been performed within 12 months of the first date of attendance to meet licensing obligations for physical and immunization records.

For children 6 years and older, the PHYSICAL and IMMUNIZATION RECORDS must be provided upon enrollment. The child’s most recent physical is satisfactory. For children entering seventh grade at the time of enrollment, the IMMUNIZATION RECORDS must include immunizations required to enter seventh grade.

Parent Handbook

For your review and records, the programs’ respective Parent Handbooks are also listed below along with some helpful information the YMCA wants you to know about Child Abuse Prevention.

• Parent Handbook

PlayerSpace/In-Care

PlayerSpace is our comprehensive digital system designed for parents whose children are enrolled in our childcare programs to easily upload required licensing documents and waivers. In addition, you will receive program updates, announcements and much more!

Parents will be reminded on a regular basis to turn in forms. Once forms are uploaded, a site staff member will then go in and approve or state any necessary changes that need to be made before compliant.