Submit this completed registration form via email at registration@westfieldy.org or fax it to (555) 555-5556. Physical submissions can be dropped off at the Westfield Area YMCA located at 123 YMCA Lane, Westfield, NJ. Make sure to submit the form before the event date to secure your child's spot.

The important dates for this registration form are September 2016 to August 2017. Ensure that you submit the form before the event dates. Each event may have specific deadlines, so stay informed.

The purpose of this form is to gather necessary information from parents and guardians for their child's participation in youth and teen programs hosted by the Westfield Area Y. It also ensures that the organization has all required consent and medical information for safety. By filling out this form, guardians agree to the terms set by the YMCA for the protection of their children during events.

• 1. Participant's Name: Field for the child's full name.
• 2. Grade: Field to specify the child's school grade.
• 3. Date of Birth: Field for the child's birth date.
• 4. Address: Field for the child's residential address.
• 5. City: Field for the city of residence.
• 6. Zip: Field for the postal code.
• 7. Home Phone #: Field for the home phone number.
• 8. Parent/Guardian E-mail: Field for the email address of the parent or guardian.
• 9. Parent/Guardian 1 name: Field for the first parent's or guardian's name.
• 10. Cell Phone: Field for the primary cell phone contact.
• 11. Parent/Guardian 2 name: Field for the second parent's or guardian's name.
• 12. Cell Phone: Field for the secondary cell phone contact.
• 13. Emergency Contact name: Field for naming an emergency contact.
• 14. Cell Phone: Field for the emergency contact's cell phone.
• 15. Any known allergies or medical conditions: Field to list any allergies or medical conditions.
• 16. Initial: Field where the guardian signs or initials.
• 17. Participants Signature: Field for the child to sign.
• 18. Print Name: Field for printing child's name.
• 19. Date: Field for the date of signing.
• 20. Signature Parent /Guardian: Field for parent or guardian's signature.
• 21. Print Name: Field for printing parent's or guardian's name.
• 22. Date: Field for the date of signature.

If the form is not submitted, your child may miss out on participating in important events. It's crucial to ensure all sections are completed accurately. Incomplete submissions may result in the inability to attend planned activities.

• Event Participation: Without submission, your child cannot participate in any scheduled events.
• Medical Information: Lack of the medical section could risk participant safety during activities.
• Consent Issues: Unsubmitted forms may lead to consents not being accounted for.

• 1. Youth Events: Required for participation in various youth activities.
• 2. Parental Consent: To obtain necessary consent for minors.
• 3. Medical Information: To inform organizers of any allergies or medical issues.