VBCPS 2025 Form You must have JavaScript enabled to use this form. To enroll for preschool using the VBCPS Title I Schools employee discount, please fill out the form below. Once your form is received, the Y's child care team will review your approval letter and update your account to authorize the discounted weekly rate. If you don't have a YMCA account yet, our team will use the information to create your account. Once your approval has been added to your account, you'll receive an email. Then, you'll be able to enroll online, call to enroll or stop in to the Salem YMCA Family Center or YMCA of Portsmouth location to enroll in person. Child's Name Child's Date of Birth Parent's Name Parent's Email Parent's Phone Do you already have a YMCA account? - Select -YesNo Home Address Address City State - None -AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming ZIP Code Parent's Date of Birth We use this information to set up your YMCA account. Text Field CAPTCHA This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
