TKC childcare financial assistance form

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Financial assistance is made possible by charitable donations made by individuals, businesses, and foundations.

While The Community House sets all program fees at an affordable rate to the majority of the citizens in our service area, assistance is available to those with a financial need. Assistance is awarded based on the applicant’s ability to pay, volume of requests, and the availability of funds. Unfortunately, not all requests can be granted.

Eligibility is determined by household income, expenses and/or extenuating circumstances. In most cases, applicants will be required to pay a portion of the program fee for which they are requesting assistance and/or provide volunteer support.

*Email TKC Program Director, Tracey Sacco, after completion of this form. Tracey@communityhouse.org

Email *

Child's Name: *

School and Grade Level: *

Child's Name:

School and Grade Level:

Parent(s) Name(s): *

Address: *

Phone: *

Simple Statement of Financial Need (low income, medical expenses, family hardship, etc) *Please indicate if you're seeking temporary support with annual registration fee or weekly tuition support: *

# of adults in household & # of children in household: *

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