WELCOME TO ALL
THE ESSENCE OF THE Y--With a commitment to nurturing the potential of kids, promoting healthy living and fostering a sense of social responsibility, the YMCA of Reading & Berks County ensures that every individual has access to the essentials needed to learn, grow and thrive. EVERYONE IS WELCOME--The YMCA welcomes all who wish to participate and believes that no one should be denied access to the Y based on their ability to pay. Through our Changing Lives Financial Assistance Program, the YMCA of Reading & Berks County provides assistance to youth, adults and families based on individual needs and circumstances. COMMITTED TO OUR COMMUNITY--Determining assistance amounts is handled by YMCA branches in a fair and consistent manner. Every YMCA member receives the same membership benefits, regardless of whether or not they receive assistance. YMCA members can feel confident knowing that they are a part of an organization that cares greatly for the well-being of all people, and is committed to youth development, healthy living and social responsibility.
Please note...
Changing Lives Financial Assistance reduces membership fees; it does not eliminate them. All Changing Lives Financial Assistance will be granted for 12 months, except childcare. The YMCA requests that individuals and families reapply annually, with updated documentation. Financial Aid is subject to change when you reapply. If you do not reapply at the time requested, your financial aid will expire.
Applicant Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
E-mail
*
Please note, your determination will be sent to the email address you provide.
Please List ALL Persons Living in This Household and Their Dates of Birth.
*
Back
Next
I am applying for (check category for which you are applying):
*
Adult Membership
Family Membership
Childcare
Summer Day Camp
Adult Sports/Programs
Youth Sports/Programs
Other
Who has custody of the child(ren)?
Parent/Guardian #1:
Parent/Guardian #2:
What other childcare options are available to you?
Please choose the YMCA location you plan to use:
*
Please Select
Reading YMCA
Sinking Spring Family YMCA
Mifflin Area YMCA
Adamstown YMCA
Tri Valley YMCA
Richmond Program & Childcare Center
Camp Joy
Back
Next
To qualify for assistance, provide the following documents:
If you filed federal taxes last year, upload 1040 Federal Tax Form(s) for all incomes in household.
Browse Files
Drag and drop files here
Choose a file
Cancel
of
If you DID NOT file federal taxes last year, upload documents showing most recent 30 days of income (including pay stubs or documentation of government assistance.
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Total Annual Household Income:
*
I receive income from the following programs:
Food Stamps
Child Support
SSI
Unemployment
Disability
Other
Total Annual Income (from programs listed above):
Back
Next
Tell us more! I want/need financial assistance because:
*
Would you be willing to volunteer your time at the YMCA?
*
Yes
No
Maybe
Certification
By signing below, I certify that the information I have provided is true and complete to the best of my knowledge, and that I do not have additional income not provided in this application. I agree, if necessary, to send additional information and documentation to support the above statements. I understand that assistance is based on need. In the event that I or my children must cancel our participation, I will contact the YMCA immediately so assistance can be provided to others. I understand that if I falsify any of the above information, I will not be eligible for assistance now and/or in the future.
Signature
*
Submit
Should be Empty: