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It requires listing dependents with proof of dependency and specifying fee assistance requests, including participant name, activity/camp name, activity number, and fee. Applicants must submit last year’s Federal Income Tax 1040 (with W2s and schedules) for all adults and provide household income and monthly benefits information. The form includes confidentiality and eligibility conditions and requires signatures to confirm accuracy.",{"@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/skokie-park-district-fee-assistance-program-application-form/301826/",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/skokie-park-district-fee-assistance-program-application-form/301826.png","ImageObject",442,249,{"name":88,"@type":89},"วิน","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-09-24","2026-09-19",true,{"@type":98,"interactionType":99,"userInteractionCount":73},"InteractionCounter",{"@type":100},"ViewAction",{"@type":102,"mainEntity":103},"FAQPage",[104,110,114],{"name":105,"@type":106,"acceptedAnswer":107},"What documents must be submitted with the application?","Question",{"text":108,"@type":109},"A copy of the past year’s Federal Income Tax 1040 form (including W2s and all supporting schedules) for all adults in the household must be submitted with the application.","Answer",{"name":111,"@type":106,"acceptedAnswer":112},"How should dependents be listed in the form?",{"text":113,"@type":109},"Dependents living with you must be listed with full name, birthdate, relationship, gender, school, and grade, and proof of dependency is required.",{"name":115,"@type":106,"acceptedAnswer":116},"What happens if incorrect information is provided?",{"text":117,"@type":109},"Requests for fee assistance are confidential, but all submitted information must be true and accurate. 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Yes No  \nSection 1:  \nList dependents living with you (proof of dependency is required  ):  \n\n| FULL NAME | BIRTHDATE | RELATIONSHIP | MALE/FEMALE | SCHOOL | GRADE |\n| --- | --- | --- | --- | --- | --- |\n|  |  |  |  |  |  |\n|  |  |  |  |  |  |\n|  |  |  |  |  |  |\n|  |  |  |  |  |  |\n|  |  |  |  |  |  |\n\nSection 2:  \nPlease refer to the Skokie Park District Program Guide for specific information. Requesting fee assistance for (must be your dependent):  \n\n| PARTICIPANT’S NAME | ACTIVITY/CAMP NAME | ACTIVITY/CAMP \\# | FEE |\n| --- | --- | --- | --- |\n|  |  |  |  |\n|  |  |  |  |\n|  |  |  |  |\n|  |  |  |  |\n|  |  |  |  |\n|  |  |  |  |\n\nIMPORTANT – Please read the General Information Guidelines carefully. A copy of the past year’s Federal Income Tax 1040 form (with  W2’s and all supporting schedules ) for all ADULTS living in your household must be submitted along with your application.  \nSection 3:  \nPlease review the following and list any information that pertains to your household:  \nA. Gross Income (Federal Tax Form 1040) $   \nIf there is a change in current gross income, please explain:    \n__________________________________________________________________________________________________________  \nB. Do you RECEIVE any of the following?  \n\n| ENTER MONTHLY AMOUNTS, IF APPLICABLE: |  | BUSINESS OFFICE USE ONLY: |\n| --- | --- | --- |\n| Child Support | $  | Verification   |\n| ADC/Public Aid | $  | Verification   |\n| Food Stamps | $  | Verification   |\n| SSI | $  | Verification   |\n| Pension | $  | Verification   |\n| Unemployment | $  | Verification   |\n| Rental Income | $  | Verification   |\n| Family Support | $  | Verification   |\n| Other | $  | Verification   |\n\nSection 4:  \nTo complete the application process, each applicant must sign below:  \nI/We have been advised and understand that:  \n▪ All information submitted is confidential and is not a matter of public record of the Skokie Park District.  \n▪ All information provided on this form must be true and accurate.  \n▪ All requests for fee assistance will be evaluated and approved by the Fee Assistance Administrator.  \n▪ All fee assistance is legally recoverable if awarded on the basis of false information supplied by the applicant and will nullify your request for any future fee assistance.  \n▪ The applicant’s household account must be current. Any default on an outstanding balance will disqualify the applicant from fee assistance now and in the future.  \n▪ Further information may be required before action on this application is taken.  \n▪ All requests are contingent upon availability of space within programs.  \n▪ Applicant(s) will be notified as soon as practicable as to the disposition of this application.  \nParent/Guardian Signature Date  \nParent/Guardian Signature Date  \n2  \nSUBMIT","cbCailKf3LpdKV8z","https://ap.wps.com/l/cbCailKf3LpdKV8z","pdf",413659,"English","# Application Sections\n## Section 1: Dependents\n## Section 2: Requested Activities/Camps\n## Section 3: Household Income and Benefits\n## Section 4: Signatures and Guidelines","[{\"question\":\"What documents must be submitted with the application?\",\"answer\":\"A copy of the past year’s Federal Income Tax 1040 form (including W2s and all supporting schedules) for all adults in the household must be submitted with the application.\"},{\"question\":\"How should dependents be listed in the form?\",\"answer\":\"Dependents living with you must be listed with full name, birthdate, relationship, gender, school, and grade, and proof of dependency is required.\"},{\"question\":\"What happens if incorrect information is provided?\",\"answer\":\"Requests for fee assistance are confidential, but all submitted information must be true and accurate. Fee assistance awarded based on false information is legally recoverable and will nullify future fee assistance requests.\"}]","Skokie Park District Fee Assistance Program - Application Form | PDF",1789785706]