Medford Youth Center School Year Drop-in Program
Filling this out does NOT Register your child for the program. This list lets us know if you plan on registering your child for the child or would like to add them to a waitlist if the program is full (program is for children ages 7 - 18).
Email address *
Best contact phone number
Your answer
Parent/Guardian Name
Your answer
Registration Application and Parent Information Guide
Please click here to download the application and parent information guide. This must be filled out and submitted before your child can attend.

https://www.ymcamalden.org/docs/Applications/Medford_Youth_Center_2019-2020_school_year_Final.pdf
Do you want to enroll your child(ren) in the 2019-2020 Drop-in program
Did any of your children attend the program during the 2018-2019 school year (not including the summer)
How many children are you interested in enrolling?
1st Child's Name
Your answer
Age as of September 3rd, 2019
Your answer
2nd Child's Name
Your answer
Age as of September 3rd, 2019
Your answer
3rd Child's Name
Your answer
Age as of September 3rd, 2019
Your answer
4th Child's Name
Your answer
Age as of September 3rd, 2019
Your answer
5th Child's Name
Your answer
Age as of September 3rd, 2019
Your answer
6th Child's Name
Your answer
Age as of September 3rd, 2019
Your answer
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