I am interested in the preschool Summer Program at the Y

Thank you for your interest in the YMCA Preschool Summer Program.  Please provide your information below and the YMCA Child Care Director will contact you regarding how to enroll your child at the YMCA. 

If you have any questions please contact Tania at 607-772-0560 ext. 236

 

Name
Address
City
Email
Phone
Are you a Y member?
 Yes  No
 
Child's Name
Gender
 Male  Female
 
What is your child's date of birth?