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  • Home
  • Donate Now
  • About us
  • Programs
  • Photo Gallery
  • Curriculum
  • Enrollment
    • Harbison
    • Elmwood
    • 16th Street
  • Resources
    • ProCare Help
    • Community Resources
    • Local Businesses
    • Support Services
  • Join Us
    • Careers
    • Volunteer
  • ProCare Online
  • Contact Us
  • Frequently Asked Question
  • YCW School Store
  • YCW Parents Portal
    • YCW Parent Forms
    • Educational Resources

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Enrolled Families Most Requested Forms

ELWYN Referral Form (pdf)

Download

Health Assessment Form (pdf)

Download

Dental Exam Form (pdf)

Download

Medical Plan of Care - Food Allergies (pdf)

Download

Asthma Required Documents - Astham Action Plan, Med1, Medication Log (pdf)

Download

Epi Pen Required Documents (pdf)

Download

ELRC Facility Transfer Request

Do you need assistance transferring your ELRC Funding?
Click to complete The Facility Transfer Request - ELRC

Location Specific Forms

ELMWOOD FORMS

2400 S. 71st St.

Phila., PA 19142 


Click the link below to up date the below forms:

71st PreK Emergency Contact and Agreement71st EHS Toddler Mid Year71st YCW Before and After School Care PaperworkYCW 71st St PREK (3RD YEAR) APPLICATION
71st St Immunization Exemption Letter

16th STREET FORMS

6801 N. 16th St.

Phila., PA 19126


Click the link below to up date the below forms:

16th PreK Emergency Contact and Agreement16th YCW Before and After School Care PaperworkYCW 16th St PREK (3RD YEAR) APPLICATION16th St Immunization Exemption Letter

HARBISON FORMS

6595A Roosevelt Blvd.

Phila., PA 19149 


Click the link below to up date the below forms:

Harbison PreK Emergency Contact and AgreementHarbison EHS Toddler Mid Year (082024)Harbison YCW Before and After School Care PaperworkHarbison PREK (3RD YEAR) APPLICATION
Harbison Immunization Exemption Form

YCW New Family Referral Incentive Program

Do you know a family that could use our services? Refer a family and earn money

YCW New Family Referral Incentive ProgramReturn to top of page

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