Financial Assistance Application

Name(Required)
Date of Birth(Required)
I am applying for:(Required)
Address(Required)

Additional Family Members

Name
Name
Name
Name
Name
Name
Name

Upload Documents

Documents can be uploaded with your application or brought to the YMCA once you have been contacted for an appointment.
  • - Most recent Notice of Income Tax Assessment(s) for household family members
  • - Previous month’s paystub(s)
  • - Other sources of income (e.g. Child Tax Benefit/Child Care Supplement, rental income, employment insurance, disability/low-income supplement, CPP, OAS, Workers Compensation)
Drop files here or
Max. file size: 256 MB.
    Consent(Required)
    Applicant's Name(Required)