Home Central Registration
Carlisle Barracks Family Morale Welfare and Recreation

Central Registration - CYSS


  • Phone: (717) 245-3801
  • DSN: 242-3801


  • Address

  • 637 Liggett Road
  • Carlisle Barracks
  • Carlisle, PA 17013


  • Hours of Operation

  • 8 a.m. - 5 p.m.

alt

For your child to participate in any CYSS program or activity on Carlisle Barracks, he/she must be registered through our central registration office, located in our Youth Services building; however, registration packets can be obtained at either the Youth Serivces (YS) building and/or the Moore Child Development Center (CDC).

Forms

Key to programs listed below - School Age Services (SAS), Middle School & Teen (MS & T), Moore Child Development Center (CDC).

.xfdl files may be opened with PureEdge Viewer and .pdf files may be opened with Adobe Acrobat Reader or similar programs.

Click on form number below to download the appropriate form.
Form Name Form # Form Type Program Required for
CDC Part Day Preshool application
133-R-E PDF
CDC
CDC Full Day Preschool application
755-R-E
XFDL CDC
Family Culture/Information Form Infants
Pre-toddlers
Toddlers
Pre-school
DOC
CDC
Child Development Services (CDS)
Registration Card
DA 4719-R PDF CDC, SAS
Child Development Services (CDS)
Child Health Assessment

DA 5223-R

PDF CDC
Army Child & Youth Services
Health Screening Tool
DA 7625-1 XFDL CDC, SAS, MST
Child Development Services (CDS)
Sponsor Consent Agreement
DA 5222-R PDF CDC, SAS
Child Development Services (CDS)
Child And Family Profile
DA 5224-R PDF CDC
Application for Department of
Defense Child Care Fees
DD 2652 PDF CDC, SAS
CYSS Youth Program & Sponsor Consent (Grades 6-12) cyss yprsc.pdf PDF
Child Development Services (CDS)
Sponsor/Program Agreement
DA 5226-R PDF CDC, SAS
CYS Parent Permission / Agreement
Card for Internet Use
DFMWR-CYS 32-R-E XFDL SAS
Membership Application for Youth Services Carlisle Barracks DFMWR-CYSS 828-R-E PDF
SAS
Carlisle Barracks Youth Sports Registration DFMWR-CYSS 829-R-E PDF Youth Sports
Additional forms
Family Care Plan DA 5305-R PDF CDC, SAS
Child & Adult Care Food Program
Child Enrollment Form (one per child)
PA state form PDF CDC, SAS
Letter to Households: Child and
Adult Care Food Program
PDE341

PDF

CDC, SAS
Single/Multi-Child Meal Benefit Application for Free & Reduced Price Meals (one per family)
USDA_PA
PDF CDC, SAS

Fee Schedule

Army regulations require that fees will be determined based on a total family income (TFI) sliding scale.  Patron supplies current LES or pay statement and child's shot records.  Please click below to view applicable fees.

School year 2011 - 2012 Fee Chart

 

 
ICE Comment System
Internet Safety Information:    Wired Safety     Get Safe Onine

The appearance of hyperlinks does not constitute endorsement by the U.S. Army of this Web site or the information, products or services contained therein. The page is maintained by the Fort Monroe MWR. The U.S. Army does not exercise any editorial control over the information you may find at these locations. Such links are provided consistent with the stated purpose of this DoD Web site.