Cyss Youth Program Registration & Sponsor Consent
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7Membership for Middle School Teen (MST)
Services ONLY Registration
th
th
6
– 12
Grades
The documents below are required to help us provide a safe environment for your children at
the Youth Services Building.
CYSS Youth Program Registration & Sponsor Consent
DA Form 5223-R Health Assessment / Sports Physical (one per child)
(Required if playing Youth Sports)
CYS Parent Permission/Agreement Card for Internet Use
Forms can be
DA Form 7625-1 Health Screening Tool (one per child)
dropped off at
McConnell
Code Of Conduct
Youth Center
717-245-3801
FORMS UNDERLINED MUST BE FILLED OUT YEARLY
Our Youth Services Building will open for OPEN REC**
Monday – Friday 1500-1900
SUMMER 1300-1900 Monday – Friday
th
**Open REC you must be in 6
grade or higher grade levels to be in the building.
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