Please note: All swim classes will be taking place 9/22 and 9/29. 

Two x Two Program Forms

Two x Two Program Forms

Families registered for Two x Two 2018-2019 School Year must complete and submit the Child Information Form (located below) by Monday, August 27, and the Health Form by Wednesday, September 12.

You can download the Health Form via the button below.

Health Form

 

Completed Health Forms should be submitted to Julia Massey, Assistant Director of the Parenting Center, via email at JMassey@14streety.org, 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


Two x Two Child Information Form

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

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  • Please provide the name and location of your doctor.
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  • Who is bringing/picking up your child to/from class?

  • *If applicable
  • Include name, relationship, and cell phone #
  • Other Important Information About Your Child

  • We're planning to offer evening parenting discussions for those who are unable to come during the day.