In observance of Passover, the 14th Street Y will be closed Friday, April 19 as of 6:00 PM and all day Saturday, April 20.

Wishing a zissen Pesach to all who celebrate! 

Toddler Summer Camp Forms

For Registered Families

Toddler Summer Camp Forms

Families registered for Summer 2018 must complete and submit the Child Information Form and the Health Form by June 8, 2018.

You can download the Health Form via the button below.

Download Health Form

Completed Health Forms should be submitted to Julia Massey, Assistant Director of the Parenting Center, via email at, or hand delivered to the Service Desk in our lobby.

If you’d like to mail the form, please send it to:

14th Street Y
344 East 14th Street
New York, NY 10003
Attention: Julia Massey

In addition, please fill out the Child Information Form below:

Toddler Camp Child Information Form

To prepare for the start of Toddler Camp, please complete this form to ensure we have this important information on record.

  • Enter without dashes or parenthesis
  • Enter without dashes or parenthesis
  • If applicable
  • Enter without dashes or parenthesis
  • Enter without dashes or parenthesis
  • Please provide the name and location of your doctor.
  • Enter without dashes or parenthesis
  • Who is bringing/picking up your child to/from class?

  • *If applicable
  • Other Important Information About Your Child

The more information we have about your child’s physical and developmental profile, the better we can serve his/her needs. All information is kept confidential.