AYCC Affordable Access Application
Affordable Access Guidelines & Info
- Before Affordable Access Application can be processed, Members MUST fill out a FREE Community membership form at www.clubaycc.org if you are not currently in our system. -All Affordable Access Applications require attached proof of monthly household income. -Applications are good for 1 year. -Partial assistance is available to members, on memberships, and most programs. -Childcare assistance is available to those who do not qualify for assistance through the State of Maine. If it appears that your family meets the guidelines for CCAP through the State of Maine, you will be asked to apply for CCAP before receiving AYCC scholarship or financial aid. Temporary assistance while in the application process may be given, and will be calculated based on what assistance and or parent fees CCAP will most likely assess. -Our guidelines have been structured to provide the most assistance to families that need it the most. We take family circumstances into consideration and do our best to assist all families in some manner. -Military grants for qualifying youth or families are available, please ensure you indicate your military status on the form. -Some communities offer Free Youth Membership with proof of residency, please see your town office for details.
Adult/Parent/Guardian Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Please list ALL persons in your household, relationship to you, and ages.
*
Do you receive any childcare subsidy or help paying for childcare from the following?
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I do not have a subsidy.
CCAP
ASPIRE
Transitional Child Care
HOPE
Child is in foster care.
I am in the process of applying for subsidy.
Other
Does anyone in your household receive TANF/ASPIRE, child support, food stamps, social security, or other financial assistance? Please list assistance type and amount below.
*
Please list below other forms of income from a job or other sources below totaling 1 month of income. Proof of income will be required to upload to complete this application.
*
How much, can you pay, per person, toward the cost of the programs you are applying for?
*
For example, if appying for childcare, how much per week can you pay per child?
Are you or someone in your household an active member of the military, retired military, or a veteran?
*
Is there anything else you would like us to know in consideration of your family?
Please upload proof of income including paystubs, assistance letters, etc that include 1 month of income.
*
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Please select from the below programs you would like to apply for assistance for.
*Not all programs provide financial assistance*
AYCC Membership Options:
Youth (Ages 0-18)
Teen (Ages 13-18)
Student (Ages 19-22)
Adult Individual
Senior Individual (Ages 55+)
Adult Couples
Senior Couples (Ages 55+)
Family w/1 Adult (Plus one or more children)
Family w/2 Adults (Plus one or more children)
Athletic Programs
Field Hockey
Volleyball
Youth Football and Cheering
Flag Football
Pee Wee Soccer
Youth REC Basketball
Youth TRAVEL Basketball
Cal Riplen Baseball
Other
Aquatics Programs:
Mid Maine Dolphins Swim Team
Masters Adult Swim Team
Group Swim Lessons
Red Cross Courses
Other
Martial Arts Programs:
Karate Classes
Karate Private Lessons
State Martial Arts Ratings & Totals (S.M.A.R.T.)
Capoeira
Jujitsu
Self Defence
Karate Clinics or Camps
Other
Childcare Options:
Preschool
ASP Waterville
ASP Atwood
ASP Benton
ASP China
Vacation Camp (school breaks)
Camp Tracy
Summer Enrichment Program
New England Sports Camp (sports and speciality summer camps)
Other
AYCC Other Options including Seasonal Programs
NinjAdventure Climbing Club
American Heritage Tour
Alfond Municipal Pool Season Passes
Alfond Municipal Pool Swim Lessons
Please allow 2-3 business days for processing of applications.
Contact Info: Alicia Vannah, Membership Services Director / 207-873-0684 x 436 / avannah@clubaycc.org DJ Adams, Afterschool Program Director / 207-873-0684 x 247 / dadams@clubaycc.org Patrick Kearns, Camp Tracy Director / 207-873-0684 x 304 / pkearns@clubaycc.org
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