TDYCC FORMS

Financial Assistance - Town of Greenburgh residents are not denied participation in any Department of Community Resources program because of a personal financial situation.  Financial assistance is available with proof and determination of need.

2021 Financial Assistance Form

2021 Summer Camp Camper Application

2021 Summer Camp - Medical Form (for Doctor use only)

2021 Summer Camp - Medication Administration Form (for Doctor use only)

2021 Operation Crossroads Summer Program Application



SUMMER CAMP APPLICATION PROCESS

CAMPER APPLICATION 

*Due to the COVID-19 pandemic the 2021 Summer Camp Application will need to be completed in its entirety and along with a physical and immunization record submitted electronically to the email below.  Once submitted, an appointment to complete registration and payment fulfillment will need to be made by calling 914-989-3600. 

Please send application with Physical & Immunization records to: 

mgadson@greenburghny.com  

jparris@greenburghny.com  

cvalenzuela@greenburghny.com   

FINANCIAL ASSISTANCE 

*Summer Offering Program Application MUST be submitted with all Financial Assistance documents (see below).  For questions and appointment scheduling please contact Danielle Bert 914-989-3907 or via email at dbert1@greenburghny.com 

Summer Camp Financial Assistance - Due to the COVID-19 pandemic the Financial aid process will need to be submitted electronically in its entirety (please review below for complete financial aid submission requirements). 


SUMMER CAMPER APPLICATION REQUIREMENTS


  1. Completed Application (2021 Summer  Camp Program)
  2. Attached PDF of Child(ren) physical. Health Form
  3. Attached PDF of Child(ren) vaccinations copy

If needed:

Medication Authorization Form

All forms will need to be submitted in ONE email and in PDF form.

FINANCIAL ASSISTANCE APPLICATION REQUIREMENTS


  1. Completed Application (FINANCIAL ASSISTANCE APPLICATION)
  2. Attached PDF copy of IRS Taxes for 2020 (you will need to have your 2020 taxes completed in order to qualify for financial aid)
  3. Attached PDF copy of IRS W-2 or 1040 (whichever applies)
  4. Attached PDF copy of 2 forms 
  5. Attached PDF copy of 4506-T completed
  6. Attached PDF copy of a valid state or government photo id (Drivers License, Drivers Permit, Non-Driver ID, employer ID, or passport)
  7. Attached PDF copy of a utility bill i.e.: con-edison, phone company, cable bill, water bill etc.
  8. Attached PDF copy of the child(ren) birth certificate
  9. Attached PDF copy of a letter from the child(ren)’s school indicating that the child is enrolled in the school and your home address.