Please complete this application soon you will recieve an email that will include

If only 1 child only put one name.
  1. Parent Information Book
  2. Kids Club participant application
  3. Kids Club permission to participate and waivers
  4. Kids Club Code of Conduct
These must be returned to the Winthrop Area YMCA prior to participating in Kids Club.
No one will be allowed to start Kids Club until these forms are completed 

If you have any questions please call 207-377-9686
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Email *
Child 1's Name
Child 2's Name *
Child 3's Name *
Child 4's Name *
Parent's Name
Home Phone #
Second Phone #
Best Email
Second Email
A copy of your responses will be emailed to the address you provided.
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