YMCA

Access Program

YMCA Access Program

ry o n e ca n be lo n g
Eve

YMCA of
Greater Vancouver

No barrier should stand in the way of us getting

stronger together.

Please call the program or membership location to

which you’ve applied.

Robert Lee YMCA Langara Family YMCA

955 Burrard Street 282 West 49th Avenue
Vancouver, BC V6Z 1Y2 Vancouver, BC V5Y 2Z5
T: 604 689 9622 T: 604.324.9622
E: robertlee@gv.ymca.ca E: langara@gv.ymca.ca
robertleeymca.ca langaraymca.ca

Tong Louie Family YMCA Chilliwack Family YMCA

14988-57 Avenue 45844 Hocking Avenue
Surrey, BC V3S 7S6 Chilliwack, BC V2P 1B4
T: 604.575.9622 T: 604.792.3371
E: tonglouie@gv.ymca.ca E: chilliwack at gv.ymca.ca Let’s face it. Sometimes life makes it
tonglouieymca.ca chilliwackymca.ca hard to pursue a healthy lifestyle.

Questions? We wyoaunt. to The YMCA works each day to make it easier for

hear from everyone to reach their potential. Our team will work
with you to create a custom membership that makes
vanymca.org achieving your goals easier.
 Tell Me More
Who can get involved in the YMCA Access Program?
Families or individuals who are unable to pay the full fee for a
standard membership or program. Also, those who currently
receive fee assistance from the government prequalify for the
program.
 
How does the YMCA decide how much I pay?
Every family or individual pays what they can afford based on
their total household income. This amount is determined in the
application process.
How is the YMCA able to provide the ACCESS Program?
YMCA donors and partners believe that no one should miss
out on a YMCA opportunity. Each year the YMCA provides an
average of 1.4 million in financial assistance.
What happens to the personal information in my
application?
All personal information is kept private and confidential. Our
privacy policy can be found at www.vanymca.org
How do YMCA Access Program renewals work?
All memberships are valid for one year, child care for three
months, registered programs for the duration of the program,
and camps for the camping season. Applicants may re-apply to
renew their space in the YMCA Access Program.
What documents will I need to submit to qualify for the
YMCA Access Program?
Please attach one of the following documents with your
application for each person living in the household:
• Prior year’s Notice of Assessment from
Revenue Canada
• Prior year’s Income Tax Return
• In the case of those who do not file Tax Returns, please
attach the last three pay stubs for those in the household
earning income
Once your application is reviewed, you are responsible for
providing:
• First payment for program or membership
• A method of automatic payment (i.e. a void cheque, credit
card information, or a pre-authorized form from your bank)
Access Application
Please fill out the application below and deliver to any YMCA
from Monday to Friday, 9 a.m. to 5 p.m. Applications will
be processed once all necessary documentation has been
submitted.
 
YMCA Access Program Application Form
Last name: ___________________________________________
First name: __________________________________________
Date of Birth: DD | MM | YYYY_____________________________
Address:_____________________________________________
City:________________________________________________
Province: _________ Postal Code:_________________________
Work Tel: _______________ Home Tel:____________________
E-mail: ______________________________________________
Please list the names of family members
in the same household who are applying:
Names Date of birth DD | MM | YYYY
1) | |
2) | |
3) | |
4) | |
 Monthly household income: $________________________
 
How much can you afford to pay per month?
$________________________
I have attached documentation that will
support my application (circle one) yes / no
Signature: __________________________________
For Office Use
Date received: DD | MM | YYYY____________________________
Division:_____________________________________________ 
Name:______________________________________________
Full Fee: $________________________
Minus Assistance Amount: $________________________
Assisted Fee: $________________________
GST: $________________________
Total Monthly Payment: $________________________
Review Application on: DD | MM | YYYY_____________________