Financial Scholarship Assistance Day Camp

We're committed to making day camp accessible to everyone.  

The Y is committed to ensuring all families have access to quality and enriching youth programs. We accept Working Connections Child Care (WCCC) subsidy at many locations. In addition, the Y provides financial assistance and a sliding fee schedule. Please complete the Affordable for All Day Camp Income Acknowledgment Form below to learn more about financial assistance.

Our staff we be in contact with you within 3-5 business days once the form is received.

Customer Information

Please provide the information requested below to help us assist you. All fields are required.


Camper Information

Please provide the name and date of birth of the camper(s). Camper one's information is required. If more than two campers, please provide additional information in the message box at the bottom of this form.

Camper One


Camper Two (Optional)


Leave a Message


Income Verification Disclosure

Please provide your initials and date of submission to indicate that you have read the following statement:

I acknowledge that I will be subject to periodic income verification. If my reported income cannot be verified, I acknowledge that my financial assistance may be adjusted.