ECE Signup Form

Early Childhood Education

Fill out the form below to start the process of enrolling your child(ren) in the Bangor Region YMCA's childcare and child education programs.

Your Name(Required)
Your Child's Information(Required)
Child's First Name
Child's Last Name
Child's Age
 
Enter the names of your children who need care. Click the "+" to the right to add rows for multiple children.
Days of the week childcare is needed:(Required)
Check all that apply
Communication Consent(Required)