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Afterschool Care & Camps: Do not complete the form below - click here to download your financial assistance packet

Please complete all the required fields:

Applicant Information
$
Dependent Information
(all persons living in household)
Financial Information
Monthly Family Income
$
$
$
$
$
$
$
Monthly Family Expenses
$
$
$
$
$
$
$
$
Most recent 1040 Federal Tax Return and Two most recent pay stubs or bank statements, and (if applicable) Two most recent pay stubs or bank statements of all other earners in your household, and Proof of other income (including governmnent assistance)