Financial Assistance - SUMMER DAY CAMP - The YMCA of Greater Birmingham: For A Better Us

Parent/Guardian Information

Full Name (Head of Household)*

First Last

Parent/Guardian Date of Birth*

Email Address*

Phone*

Address*

Street Address City State ZIP Code

Child(ren) Information

Children must be 5 years old as of September 1, 2025 and completed Kindergarten to attend the Summer Day Camp program.*

Click the plus sign on the right side to add a new row for additional children

Child's First Name

Child's Last Name

Child's Date of Birth

Child(ren)'s Membership Status

Please indicate for your child(ren) listed in this application above. The child(ren) must be on a YMCA account to register for childcare programming.

Active member(s) on a YMCA account

Inactive member(s) on a YMCA account

Not Yet member(s) on a YMCA Account

Other

Location/Program Request

Summer Day Camp Preferred Location*

Our Summer Day Camp program is available on site at many of our YMCA branches and also in local Elementary Schools through our partnership with these cities.

In addition to Summer Day Camp 2026, I am interested in applying for financial assistance for:*

Applications for childcare programming require renewal starting at the beginning of each camp season. At that time, our team can evaluate your application for Afterschool Care and School's Out Camp through the upcoming school year, if selected in this application.

Afterschool Care 2026-2027

School's Out Camp 2026-2027

What branch are you interested in for School's Out Camp?*

What school district does your child(ren) attend?*

The following School District are provided afterschool services by the YMCA. If your child does not attend any of these districts, please uncheck the afterschool care box in the applying for question.

YMCA/HCS What school does your child attend?*

The following schools in Hoover City School District are provided afterschool services by the YMCA. If your child does not attend any of these schools, please select "None of the above".

YMCA/HWCS What school does your child attend?*

The following schools in Homewood City School District are provided afterschool services by the YMCA. If your child does not attend any of these schools, please select "None of the above".

YMCA/TCS What school does your child attend?*

The following schools in Trussville City School District are provided afterschool services by the YMCA. If your child does not attend any of these schools, please select "None of the above".

YMCA/JEFFCO What school does your child attend?*

The following schools in Jefferson County School District are provided afterschool services by the YMCA. If your child does not attend any of these schools, please select "None of the above".

YMCA/BCS What school does your child attend?*

The following schools in Birmingham City School District are provided afterschool services by the YMCA. If your child does not attend any of these schools, please select "None of the above".

Information to Determine Assistance Level

Financial Assistance Rate*

The average approved Summer Day Camp 2026 Financial Assistance weekly rate is $147 for members and $184.50 for non-members. This rate is the portion parents will be responsible for per week/per child. Can your family afford this rate?

If approved, my family CAN afford this rate per week/per child.

If approved, my family CANNOT afford this rate per week/per child.

YMCA/HWCS Financial Assistance Rate*

The average approved Summer Day Camp 2026 Financial Assistance weekly rate is $114.75. This rate is the portion parents will be responsible for per week/per child. Can your family afford this rate?

If approved, my family CAN afford this rate per week/per child.

If approved, my family CANNOT afford this rate per week/per child.

YMCA/TCS Financial Assistance Rate*

The average approved Summer Day Camp 2026 Financial Assistance weekly rate is $123. This rate is the portion parents will be responsible for per week/per child. Can your family afford this rate?

If approved, my family CAN afford this rate per week/per child.

If approved, my family CANNOT afford this rate per week/per child.

NE/YC Financial Assistance Rate*

The average approved Summer Day Camp 2026 Financial Assistance weekly rate is $109.50. This rate is the portion parents will be responsible for per week/per child. Can your family afford this rate?

If approved, my family CAN afford this rate per week/per child.

If approved, my family CANNOT afford this rate per week/per child.

How much can your family afford to pay per week/per child?*

Indicating an amount does not guarantee approval at that rate. Financial assistance is awarded based on demonstrated need and available funds, and awards may vary depending on funding availability.

Please enter a number greater than or equal to 110.

NE/YC How much can your family afford to pay per week/per child?*

Indicating an amount does not guarantee approval at that rate. Financial assistance is awarded based on demonstrated need and available funds, and awards may vary depending on funding availability.

Please enter a number greater than or equal to 80.3.

Payment Arrangement*

If approved for Financial Assistance, you will receive a promo code to waive the registration fee. Deposits of $10 or $20 per week/per child depending on branch will be due at the time of registration. Program fees will be due the Wednesday prior to the start of each camp week. If your family will need an alternate payment arrangement, please specify below.

Yes, my family WILL need a payment arrangement.

No, my family WILL NOT need a payment arrangement.

Other

NE/YC Payment Arrangement*

If approved for Financial Assistance, you will receive a promo code to waive the registration fee. Program fees will be due the Friday prior to the start of each camp week. If your family will need an alternate payment arrangement, please specify below.

Yes, my family WILL need a payment arrangement.

No, my family WILL NOT need a payment arrangement.

Other

Fast Track Assistance Qualifiers*

SUMMER DAY CAMP ASSISTANCE award amounts will be communicated individually. To help streamline the assistance process, please check any of the above you are currently approved for (Notice/Letter of Approval from agency will be requested)

Childcare Assistance (CCC)|

Free & Reduced Lunch

HUD/Section 8

Medicaid/All Kids

SNAP (Food Stamps)

SSI Disability

WIC

I do not qualify/receive any of these Fast Track qualifiers

Please upload one (1) of the Fast Track Qualifier documents to confirm your eligibility

Max. file size: 128 MB.

Please complete the next section for additional assistance options.

What forms of income to do you receive?

Employed Worker

Child Support/Alimony

Unemployment

I do not receive any of these income sources

Annual household income (includes all household earnings)*

Total Number of Adults in Household*

Total Number of Dependents in the Household*

Please upload most recent pay stub or tax return information supporting stated annual income

Max. file size: 128 MB.

If the above options do not represent your situation, please share below any extenuating circumstances to help us understand how we can help?

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Financial Assistance - SUMMER DAY CAMP

Financial Assistance – SUMMER DAY CAMP

We are accepting applications at the following locations: Greystone, Homewood City Schools, Hoover, Shades Valley, and Trussville City Schools. All other locations are currently on a waitlist. Awards will be processed only as additional funds become available.

INQUIRE AND APPLY

Financial Assistance Application - Summer Day Camp

Parent/Guardian Information

Child(ren) Information

Location/Program Request

Information to Determine Assistance Level

Please complete the next section for additional assistance options.

Find your
fitness at
the Y

Find your
friends at
the Y

YMCA of Greater Birmingham

Financial Assistance - SUMMER DAY CAMP

Financial Assistance – SUMMER DAY CAMP

We are accepting applications at the following locations: Greystone, Homewood City Schools, Hoover, Shades Valley, and Trussville City Schools. All other locations are currently on a waitlist. Awards will be processed only as additional funds become available.

INQUIRE AND APPLY

Financial Assistance Application - Summer Day Camp

Parent/Guardian Information

Child(ren) Information

Location/Program Request

Information to Determine Assistance Level

Please complete the next section for additional assistance options.

Find your fitness at the Y

Find your friends at the Y

YMCA of Greater Birmingham

Find your
fitness at
the Y

Find your
friends at
the Y