Pre-Kindergarten Financial Assistance Application

Name(Required)

First Last

Date of Birth(Required)

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)

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

Max. file size: 256 MB.

Applicant's Name(Required)

First Last