YMCA Summer Day Camp Program Financial Assistance Request

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Please be sure to also apply for State and City childcare financial assistance. Due to the impact of COVID-19 on our community, the State and City are offering childcare financial assistance that could cover up to 100% of your childcare fees for up to 6 months - even for families that normally would not qualify due to their income.

Please check any of the following State or City financial assistance you have already applied for:

Department of Human Resources (DHS) Child Care Connection Subsidy - Up to 100% Financial Aid for up to 6 months: https://www.ymcahonolulu.org/assets/content/about/news/child-care-program/Child-Care-Connection-Application.pdf?1589590054

City & County of Honolulu COVID-19 Hardship Relief Program - Up to $500 Per Month for up to 6 months: http://www.honolulu.gov/cms-dcs-menu/site-dcs-sitearticles/38479-household-hardship-relief-fund-program.html

Name of Parent/Guardian

Email Address

Contact Phone #

Employer

Occupation

Participant(s) Name & Age

Branch

Kaimuki-Waialae

Kalihi