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YMCA OF WESTERN NORTH CAROLINA
Cancel
User account menu
jobs
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Main navigation
Home
Virtual YMCA
Programs
Health & Fitness
Find a Program
Active Older Adults
Adult Sports
Coaching Connection
Community Health
Group Exercise Classes
Group Training
Health Coaching
LIVESTRONG at the YMCA
Parkinson's Support
Personal Training
Schedules
Sports
Westridge CrossFit
Children & Teens
Afterschool
Center Childcare
Middle School Programs
Sports
Time Out for Parents
Sign Up
The Y Teen Career Club
Swimming
BCS Aquatics Center
Lifeguard Certification
Patton Pool
Piranhas Swim Team
Safety Around Water
Specialty Training
Swim Lessons
Find a Class
Camps
Half-Day Camps
Overnight Camp
School's Out Camps
Summer Day Camps
Find a Day Camp
Community
Diabetes Programs
Diversity and Inclusion
Falls Prevention
Financial Assistance
Food Programs
Volunteer
Schedules
Locations
About
About the Y
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Status message
Thanks to the support of generous donors to our annual campaign, the Y offers financial assistance based on need and available funds. Assistance is awarded on a first-come, first-served basis. Please complete the form below. If you have any questions, please call 828 251 5910 or
send us an email
. We appreciate your patience as they work through a high volume of requests.
Parent/Guardian First Name
Parent/Guardian Last Name
Primary Phone
Primary Email
Program
Afterschool
Summer Camp
Program Site
Child 1 Full Name
Child 1 DOB
Child 1 Grade
Child 2 Full Name
Child 2 DOB
Child 2 Grade
Child 3 Full Name
Child 3 DOB
Child 3 Grade
Status message
The YMCA has limited resources available to provide financial assistance, and it is a requirement that you apply for subsidy first through Buncombe County Child Care Services (828 250 5500) or McDowell County Child Care Services (828 652 3355). *Henderson County programs do not currently accept child care vouchers.
Have you applied for county vouchers?
- Select -
Yes
No
Outcome of phone call and person spoken to:
Status message
Financial Information
Monthly Income
Annual Income
AFCD per month (if applicable)
Food Stamps per month (if applicable)
Child Support per month (if applicable)
Social Security per month (if applicable)
Pensions per month (if applicable)
Other income per month (if applicable)
How many hours per week do you work?
How many hours per week does your spouse/partner work?
Status message
*REQUIRED: Copies of your last three paycheck stubs for you and your spouse (if applicable).
Paycheck Stub 1
One file only.
2 MB limit.
Allowed types: gif, jpg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip.
Paycheck Stub 2
One file only.
2 MB limit.
Allowed types: gif, jpg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip.
Paycheck Stub 3
One file only.
2 MB limit.
Allowed types: gif, jpg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip.
Status message
*REQUIRED: Copy of your current tax return (1st page only with your dependent listed and your AGI)
Tax Return
One file only.
2 MB limit.
Allowed types: gif, jpg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip.
How much could you possibly pay per week?
Are you a single parent?
- Select -
Yes
No
Are you a full-time student?
- Select -
Yes
No
Are you a grandparent or older relative with guardianship?
- Select -
Yes
No
Are you 55 or older?
- Select -
Yes
No
Please list any extenuating circumstances for us to consider when reviewing your application.
If your child has previously received Financial Assistance, how do you feel the program has helped your child?
I authorize the YMCA to share my story.
- None -
Yes
No
Signature
I acknowledge that if I am offered and accept Financial Assistance, I understand that my portion of the child care program cost must be paid on time and my account must be kept current. Failure to comply with the payment polices outlined in the program handbook may jeopardize future financial assistance.