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Pre-Kindergarten Financial Assistance Form
YMCA
2023-03-16T10:54:30-02:30
Home
Pre-Kindergarten Program
Pre-Kindergarten Financial Assistance Form
Pre-Kindergarten Financial Assistance Application
Name
(Required)
First
Last
Date of Birth
(Required)
Month
Day
Year
I am applying for:
(Required)
Pre-K
Location I am applying for:
(Required)
Address
(Required)
Street Address
Address Line 2
City
Postal Code
Phone
(Required)
Email
(Required)
Number of individuals in Household
(Required)
Annual Household income
(Required)
How much do you think you can pay? (weekly/biweekly/monthly - please specify)
(Required)
Upload Documents
Documents can be uploaded with your application or brought to the YMCA once you have been contacted for an appointment.
The following documents are needed:
- 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
Select files
Max. file size: 256 MB.
Consent
(Required)
I declare that the information provided is accurate. I am aware that the Y Financial Assistance Program is intended for individuals who are in need and who are unable to afford the full fee. If at any time my financial situation changes and I am able to make a greater contribution, I will contact the YMCA to have my fee adjusted.
I Agree
Applicant's Name
(Required)
First
Last
Δ
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