Camp Financial Assistance Application

The Essence of the Y

With a commitment to youth development, healthy living and social responsibility, the Kokomo Family YMCA ensures that every individual has access to the essentials needed to learn, grow and thrive. Through our financial assistance program, we welcome all who wish to participate. We believe that no one should be turned away due to an inability to pay.

Committed to Our Community

Determining assistance amounts is a fair and consistent process. Every Y family receives the same program experience, regardless of whether or not they receive assistance. Y families can feel confident knowing that they are part of an organization that cares greatly for the well-being of all people.

Applying for Assistance

Our Y financial assistance reduces program fees on a sliding scale, but it does not eliminate them. Camp financial assistance awards are good for one summer only. Applications will not be accepted if they are missing supporting documentation.

YMCA Camp Tycony accepts Child Care Development Fund (CCDF) vouchers. Information on CCDF vouchers can be found at fireflyin.org.

Camp financial assistance applications for Summer 2025 are due by Friday, May 2, 2025. Award notifications will be emailed as they are received. Please allow up to two weeks for application processing. Please do not contact the YMCA regarding the status of your application prior to that timeline.

Get started today! Account correspondance and billing information will be sent through email. An email address is required for Camp Tycony program registration. Have questions? Email us at camp@kokomoymca.org.

Note: This form is encrypted. Only authorized YMCA camp directors can access the information submitted on the YMCA's network. All data will be destroyed in accordance with the YMCA's Record Retention Policy.

Parent/Guardian Name*

First NameLast Name

Camper Name*

First NameLast Name

Camper #2 Name

First NameLast Name

Camper #3 Name

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number*

Please enter a valid phone number.

Email*

example@example.com

Please check if someone in your household is:

65+US Military or VeteranFT College StudentFirst Responder

Income Verification*

Please upload either last year's 1040 Federal Tax Form(s) or proof of monthly income for entire household. Please also attach any documentation of additional assistance your household may have received, including SNAP, rent assistance, child support, SSI, Disability, Unemployment, and/or assistance from family/friends.

Tell Us More...

Use this space to include any additional information or extenuating circumstances that were not included on this application.

Acknowledgement

By signing below, I certify that the information on this form is true and complete to the best of my knowledge, and that I do not have additional income not represented above. I agree, if necessary, to send additional information and documentation to support the above statements. I understand that camp financial assistance is based on need. In the event that I must cancel my child's participation, I will contact the YMCA Camp Office 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*