Virtual Youth Enrichment Programs

The Y is committed to ensuring all families have access to quality and enriching virtual youth enrichment programs. Please complete the form below to learn more about scholarships or financial assistance.

Our staff we be in contact with you within three (3) business days once the form is received.


Customer Information

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

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Student Information

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

Student One (Required)

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Student Two (Optional)

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Leave a Message

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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.

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