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Applicants submit a completed application, verification of income materials, and may email the forms to the Camp Registrar or mail them to the provided address. The form requests child and parent/guardian details, dependents, income from wages and other sources, and participation in AFDC/SSI/General Relief. Income verification requires a signed 2025 Federal Tax Form or Form 4506-T plus supporting household documents.",{"@graph":63,"@context":118},[64,80,101],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":36,"@type":70,"position":76},"https://docshare.wps.com/template/forms/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/camp-financial-assistance-form-application-and-income-verification-instructions/302460/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/camp-financial-assistance-form-application-and-income-verification-instructions/302460.png","ImageObject",442,249,{"name":88,"@type":89},"Fahsai","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-09-26","2026-09-19",true,{"@type":98,"interactionType":99,"userInteractionCount":79},"InteractionCounter",{"@type":100},"ViewAction",{"@type":102,"mainEntity":103},"FAQPage",[104,110,114],{"name":105,"@type":106,"acceptedAnswer":107},"How do I submit the Camp Financial Assistance application to the YMCA?","Question",{"text":108,"@type":109},"Return the completed application and financial documents to the Attleboro Norton YMCA. You can also email the completed form and financial documents to the Camp Registrar, Lisa Vecchioli.","Answer",{"name":111,"@type":106,"acceptedAnswer":112},"What information must be provided in the application?",{"text":113,"@type":109},"You must provide the program or child care requested, the child’s name and date of birth, parent/guardian details, siblings’ names and dates of birth, dependents living at home, wage and other income for each parent, and whether you receive AFDC, SSI, or General Relief.",{"name":115,"@type":106,"acceptedAnswer":116},"What documents are required to verify income?",{"text":117,"@type":109},"You must supply a copy of your signed 2025 Federal Tax Form (1040/1040A/1040EZ). If you did not file, complete Form 4506-T and provide copies of applicable household items such as pay stubs and benefit or loan statements.","https://schema.org",{"og:url":78,"og:type":120,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":122,"canonical":78},"index,follow",{"doc_id":124,"site_id":56},302460,1790224483,{"code":4,"msg":5,"data":127},{"doc_id":124,"user_id":128,"nickname":88,"user_avatar":129,"doc_module":9,"category_id":35,"category_name":36,"doc_title":59,"doc_description":61,"doc_content":130,"file_id":131,"file_url":132,"file_type":133,"file_size":134,"view_count":79,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":9,"language":135,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":136,"faqs":137,"seo_title":138,"seo_description":61,"update_tm":139,"read_time":4},549768702563,"https://ap-avatar.wpscdn.com/avatar/8000c4aa63b76e948b?x-image-process=image/resize,m_fixed,w_180,h_180&k=1786536092046926083","CAMP FINANCIAL ASSISTANCE FORM  \nThe Attleboro Norton YMCA believes that every child should have access to the magical, life-changing experience of camp. In keeping with our cause and mission, we offer financial assistance to qualified families and individuals. All camp scholarships are funded through the Y’s Annual Campaign, thanks to the generosity of our donors and supporters.  \nPlease note that all of our camps accept Child Care Vouchers.  \nTO APPLY, PLEASE RETURN THE FOLLOWING TOTHEATTLEBORO NORTON YMCA:  \n1. Financial Assistance Application  \n2. Verification of Income (see list of acceptable documents below)  \nOR EMAIL the completed form and financial documents to Lisa Vecchioli, Camp Registrar, at [lvecchioli@attleboroymca.org](lvecchioli@attleboroymca.org).  \n\n| Program or child care applying for:\u003Cbr>Child’s Name: Date of Birth: |\n| --- |\n| Parent’s/Guardian’s Name:   Phone:   Parent’s/Guardian’s Address (if different than child’s):\u003Cbr>Sisters’/Brothers’ Names Date of Birth\u003Cbr>1. _______________________________________________________________________________________________  \u003Cbr>2. _______________________________________________________________________________________________  \u003Cbr>3. _______________________________________________________________________________________________  \u003Cbr>4. _______________________________________________________________________________________________  \u003Cbr>How many dependents living at home?   (Include yourself, spouse, if applicable, and dependent children)\u003Cbr>Parent 1 Total Gross Wages per week: $   Other Income: $ \u003Cbr>Parent 2 Total Gross Wages per week: $   Other Income: $ \u003Cbr>Do you receive AFDC? $   SSI? $   General Relief? $   Per Week?   Month? Department of Public Welfare: Unit Number:  \u003Cbr>Department of Social Services: Social Worker’s Name:\u003Cbr>Referring Person: _______________________________________________________________________________ School/Agency:_____________________________   Phone Number:\u003Cbr>Please give a brief statement of need regarding this Campership request:   |\n| Are there any special circumstances? (Please explain briefly.)   |\n| I VERIFY THAT ALL INFORMATION SUBMITTED IS CORRECT, COMPLETE, AND ACCURATE. If my situation changes, I agree to notify the Y within 30 days. If I submit false or inaccurate information, or fail to notify the Y within 30 days, I understand that I may be terminated from the Best Friends Financial Assistance program and responsible for any payment due.\u003Cbr>Date Parent/Guardian Signature (REQUIRED) |\n\nVERIFICATION OF INCOME  \nParents/Guardians are required to furnish support materials to verify weekly/monthly income for all working parents, including step-parents or those legally responsible for the child. You MUST supply a copy of your signed 2025 Federal Tax Form (1040, 1040A, or 1040EZ).  \nIf you did not file a 2025 tax form, you will need to fill out Form 4506-T, available at the Y’s Welcome Center, to verify you did not file. In addition, you will need to present copies of the following items that apply to your household:  \n• Two current pay stubs  \n• Unemployment benefit statement  \n• Social Security benefit statement  \n• Student loan statement  \n• Disability benefit statement  \n• Child support statement  \nMAIL ALL FORMS TO: ATTLEBORO NORTON YMCA | Attn: Camp Registrar | 63 N. Main Street | Attleboro, MA 02703","cbCailGdmhOvKSjr","https://ap.wps.com/l/cbCailGdmhOvKSjr","pdf",70178,"English","# Application Submission\n## Required Items and Email/Mail Instructions\n# Program Details and Household Information\n## Dependents, Income, and Assistance Programs\n# Verification of Income\n## 2025 Federal Tax Form or Form 4506-T\n## Supporting Documents","[{\"question\":\"How do I submit the Camp Financial Assistance application to the YMCA?\",\"answer\":\"Return the completed application and financial documents to the Attleboro Norton YMCA. You can also email the completed form and financial documents to the Camp Registrar, Lisa Vecchioli.\"},{\"question\":\"What information must be provided in the application?\",\"answer\":\"You must provide the program or child care requested, the child’s name and date of birth, parent/guardian details, siblings’ names and dates of birth, dependents living at home, wage and other income for each parent, and whether you receive AFDC, SSI, or General Relief.\"},{\"question\":\"What documents are required to verify income?\",\"answer\":\"You must supply a copy of your signed 2025 Federal Tax Form (1040/1040A/1040EZ). If you did not file, complete Form 4506-T and provide copies of applicable household items such as pay stubs and benefit or loan statements.\"}]","CAMP FINANCIAL ASSISTANCE FORM - Application and Income Verification Instructions | PDF",1789793151]