The BCYF Youth Membership Form, printed on the PDF as the Youth Membership Application, is the membership application of Boston Centers for Youth & Families (BCYF), the City of Boston agency that runs community centers. It collects the member's details, school, medical information, parent or guardian contacts, emergency contacts and a block of consents. On this page you can fill out the form online on FillingPDF and download or print the completed PDF; the original PDF is published by the City of Boston at boston.gov.
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What is BCYF Youth Membership Form – Boston, MA?
The BCYF Youth Membership Form is the application a young person completes, with a parent or guardian, to become a member of Boston Centers for Youth & Families (BCYF), the City of Boston agency that partners with community center councils, agencies and businesses to support children, youth, individuals and families.
The printed title is Youth Membership Application. The form has these parts:
- Member Information: name, gender, home address, date of birth, phone numbers, email, ethnicity, whether the member is of Hispanic or Latino origin, school, grade and type of school, and who the child lives with.
- Medical Information: health insurance company, hospital name, medical conditions or allergies, and any additional information BCYF should know.
- Parent/Guardian Contact Information: two contacts who are authorized to pick up the youth from BCYF community centers.
- Emergency Contact Information: two people other than a parent or guardian who can be reached in an emergency and who are also authorized to pick up the youth.
- Consent: agreement to the BCYF Code of Conduct and the BCYF Pool Rules and Regulations, a waiver and release, parent or guardian consent for a minor, consent to first aid and emergency treatment, consent to use photographs and recordings for publicity, and an acknowledgment that transportation is not provided.
The top of the form has a For Office Use Only block (Date Received, Staff Member Entering, ID, Fee Type) that BCYF staff complete.
Who needs to file BCYF Youth Membership Form – Boston, MA?
Youth who want a membership with Boston Centers for Youth & Families (BCYF) use this form, completed with a parent or guardian.
- The member signs the form and dates it.
- A parent or guardian signs the second signature line when the member is under 18. The consent paragraph for a minor names the child and gives consent to the BCYF membership on behalf of the parent or guardian.
- Parent/guardian contacts: the form asks for two contacts, and both are authorized to pick up the youth from BCYF community centers.
- Emergency contacts: the form asks for two people other than a parent or guardian. They are also authorized to pick up youth family members from the community center.
The form describes itself as a youth application, so it is not the place to list a parent or guardian as an emergency contact. The form gives no eligibility rules beyond this, such as age limits or residency; the City of Boston and BCYF community centers answer those questions.
How to fill out BCYF Youth Membership Form – Boston, MA
Enter the member's name and address
Under MEMBER INFORMATION, write the member's first and last name, mark Female or Male, and enter the home address (street, apartment, city/neighborhood, ZIP code) and the date of birth.
Add phone numbers and email
Enter the Home Phone, Cell Phone and Email for the member or family.
Complete ethnicity and school details
Select all Ethnicity options that apply and answer the Hispanic or Latino origin question Yes or No. Enter the School and Grade, then mark the Type of School: Public, Charter, Private/Parochial or Homeschool.
Mark who the child lives with
Under Child lives with, select all that apply, from Both Parents to Guardian, or choose Other and write the relationship.
Fill in the medical information
Enter the Health Insurance Company and Hospital Name. Answer the medical conditions or allergies question; if Yes, select Allergies, Asthma, Physical Restrictions, Medications or Other and describe it. Answer the additional information question No or Yes and explain if Yes.
List the parent or guardian contacts
Enter the name, home address and Home, Work and Cell numbers for each of the two parents or guardians. These two contacts are authorized to pick up the youth.
List two emergency contacts
Enter the Primary Contact and Secondary Contact with address and phone numbers. They must be people other than a parent or guardian.
Read and check the consents
Check each consent you agree to. In the minor consent paragraph, enter the child's name in the blank where the form asks for it.
Leave the office use block empty
Do not fill in Date Received, Staff Member Entering, ID or Fee Type at the top; BCYF staff use them.
Sign, review and download the PDF
The member signs and dates; a parent or guardian signs and dates if the member is under 18. Check every section, then download or print the completed PDF from FillingPDF and submit it as described under How to submit.
How to submit BCYF Youth Membership Form – Boston, MA
The form prints no mailing address, portal or e-mail address, so it names no submission channel of its own. It is a BCYF membership application with a For Office Use Only block (Date Received, Staff Member Entering, ID, Fee Type) that staff fill in when they receive it. BCYF runs a network of community centers, and each one is described on its page at boston.gov, so ask the BCYF community center where you want to be a member how it accepts the completed application. Sign the form before you hand it in: the member signs, and a parent or guardian signs too if the member is under 18. FillingPDF lets you fill out and download the PDF; submission follows the channels BCYF uses.
Common mistakes to avoid
- Leaving the parent or guardian signature blank when the member is under 18.
- Listing a parent or guardian as an emergency contact; the form asks for two people other than a parent or guardian.
- Leaving the child's name blank in the parent or guardian consent paragraph for a minor.
- Answering Yes to medical conditions or allergies without selecting the type and writing a description.
- Skipping the consent checkboxes, including the BCYF Code of Conduct and the BCYF Pool Rules and Regulations.
- Signing the form with incomplete or inaccurate details; the consent states the application is factual and complete to the best of the signer's ability.
- Writing in the For Office Use Only block, which BCYF staff complete.
- Listing as pickup contacts people who should not collect the child; both parent/guardian contacts and both emergency contacts are authorized to pick up the youth.
Frequently asked questions
What is the BCYF Youth Membership Form?
It is the membership application of Boston Centers for Youth & Families (BCYF), printed as the Youth Membership Application. It collects member details, medical information, parent or guardian and emergency contacts, and the consents BCYF requires.
Does a parent have to sign the BCYF youth membership form?
Yes, if the member is under 18. The form has a separate Signature of Parent/Guardian (if member is under 18) line, and the minor consent paragraph has the parent or guardian consent to the child's BCYF membership.
Who can pick up my child under the BCYF membership form?
The two parent or guardian contacts and the two emergency contacts listed on the form are authorized to pick up the youth from BCYF community centers. The emergency contacts must be people other than a parent or guardian.
Can I fill out the BCYF Youth Membership Form online?
Yes. You can fill out the form online on FillingPDF and download or print the completed PDF. FillingPDF is an independent service, does not file the form with BCYF or the City of Boston, and you submit it through BCYF's own channels.
What am I agreeing to in the consent section?
You agree to follow the BCYF Code of Conduct and Pool Rules and Regulations, give a waiver and release, consent to first aid and emergency treatment, and allow photographs and recordings for publicity. You also accept that transportation is not provided.
Can BCYF end a membership?
Yes. The consent section states that failure to comply with the rules and expectations on the form can lead to termination of membership.
Does BCYF provide transportation to its community centers?
No. The consent section says transportation is not provided and that arranging transportation to and from BCYF community centers and programs is the member's or family's responsibility.
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