Financial Assistance Program Application
Park Ridge Park District believes everyone should have the opportunity to participate in recreation programs and therefore administers a Financial Assistance Program. This program provides financial assistance to residents who are interested in enrolling in an eligible Park District program, but unable to do so due to financial hardships. Based on availability of funds, the Park District will attempt to provide financial assistance to those who qualify based on the eligibility requirements. Financial assistance will be awarded on a first-come, first-served basis based on need as well as availability of funds.
Availability
Financial Assistance is available for all ages.
Financial Assistance is limited to one opportunity per person per season.
Applications are required seasonally.
Eligibility Requirements
Program participants must be Park Ridge Park District residents.
Non-resident participants attending Beyond the Bell are eligible for Beyond the Bell financial assistance only.
Meet financial criteria as listed by the Illinois Income Eligibility Guidelines, unless unique circumstance is presented.
Number of Members
Year
Month
Twice Per Month
Every Two Weeks
Weekly
1
28,953
2,413
1,207
1,114
557
2
39,128
3,261
1,631
1,505
753
3
49,303
4,109
2,055
1,897
949
4
59,478
4,957
2,479
2,288
1,144
5
69,653
5,805
2,903
2,679
1,340
6
79,828
6,653
3,327
3,071
1,536
7
90,003
7,501
3,751
3,462
1,731
8
100,178
8,349
4,175
3,853
1,927
Each Additional Member Add
10,175
848
424
392
196
How to Apply
Completion of the Financial Assistance Application form is required.
Include the following documentation with your application:
Proof of financial need, either a tax return from the year prior or documentation from one of the following organizations must be submitted with your application: an educational institution (i.e. school social worker, principal), a crisis support organization (i.e. Catholic Charities, Josselyn Center), or public aid organizations (i.e. Social Security, disability, nutrition assistance)
Guidelines
For most programs and services, applicants are required to pay 50% of registration fees.
Exceptions may be made on a case-by-case basis.
Payment plans are available for the participant portion of fees owed.
Fee Assistance Tiers
Tier
Max per person / per season
Tier 1 - Programs / Memberships
Max $100
Tier 2 - Childcare
Max $500
Eligible Programs and Services
Memberships: Pool Pass, Centennial Fitness Center, STAR Membership, Ice Skating Pass
Daily fees: Open Gym, Public Skate, Skate Rental
Programs: Recreation Programs including Athletic Leagues
Childcare: Summer Camps, Preschool, Beyond the Bell, Nature Preschool, School Days Off
Applications
Will be processed within 10 business days following submission of application and documentation.
Information will be confidential.
Applicants receive a decision by phone or email with registration instructions.
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Park Ridge Park District Financial Assistance Application
Family Last Name:
Address:
Preferred Phone:
Email:
example@example.com
Household Member Name
Age
1
2
3
4
5
6
Marital Status:
Single
Married
Widowed
Separated
Divorced Living Together
Current year's total projected household income from all sources
less than $15,000
$15,000-$20,000
$20,000-$25,000
$25,000-$35,000
$35,000-$45,000
If above $45,000, list amount:
1st Adult: Annual Pre-Tax Salary:
Other Annual Pre-Tax Income:
2nd Adult: Annual Pre-Tax Salary:
Other Annual Pre-Tax Income:
Verification of household income is required. (EX: 1040 Federal Tax Return Form)
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No income: If your household has no income, a brief note is required below explaining the circumstance, how you provide food, clothing, and housing for your household, and when you expect an income.
I affirm that all of the information I have supplied is truthful and accurate. Should my financial status change after completion of this form, I will report these adjustments to the Park Ridge Park District. I also understand that should this information be falsified in any way I assume full responsibility to reimburse the Park Ridge Park District in full for any financial aid received as a result of this application.
APPLICANT NAME (please print):
SIGNATURE OF APPLICANT:
DATE:
-
Month
-
Day
Year
Date
Checklist to Submit Application:
Financial Assistance Application
Registration Form
Proof of Residency
Proof of Financial Need - (copy of tax returns, participation in the State subsidized hot lunch program, proof of government assistance -nutrition assistance, housing)
Submit Checklist Items to the Registration Office at 2701 West Sibley Avenue, Park Ridge, Illinois 60068 or emailed to jgreve@prparks.org
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