Candlelight CC Application for Fee Exemption

Houston Parks and Recreation Department 2024 Summer Enrichment Program INCOME QUALIFICATION WORKSHEET Program Fee Unless eligible for exemption as listed below, each child will be charged a fee of $30/week. The following groups of citizens with appropriate documentation will be exempt from the fees and will be able to register for the Summer Enrichment Program at no charge. Foster Parents; Unemployed parents or guardians; Families or guardians on Family Independence Program (FIP); Families or guardians on Food Stamps (FS); Families or guardians on Supplemental Security Income (SSI); Families or guardians on Medicaid; Families or guardians on Federal Housing or Section 8 Assistance; Families or guardians on Temporary Assistance to Needy Families (TANF) Program; Families or guardians on Aide to Families with Dependent Children (AFDC); Families or guardians with or below the following income levels: Family Size- Number of Persons in the Family/Gross Yearly Income Eligibility • One person/$15,060 • Two People/$20,440 • Three People/$25,820 • Four People/$31,200 • Five People/$36,580 • Six People/$41,960 • Seven People/$47,340 • Eight People/$52,720 • More than Eight People/Add $5,380 for each additional person Program Weeks: Week #1 June 10 - June 14, 2024 Week #2 June 17 - June 21, 2024 (June 19th is a City Holiday; No program) Week #3 June 24 – June 28, 2024 Week #4 July 1 – July 5, 2024 (July 4th is a City Holiday; No program) Week #5 July 8 - July 12, 2024 Week #6 July 15 - July 19, 2024 Week #7 July 22 - July 26, 2024 Week #8 July 29 – August 2, 2024 Week #9 August 5 – August 9, 2024 Week #10 August 12 - August 16, 2024 To be eligible for a refund, cancellations must be requested before the beginning of each week. Additional Program Notes: Youth participants may be suspended from the program after 3 times of late pick-up. Fifteen (15) minutes after the program ends for the day constitutes a late pick. Failure to pick up youth participant 1 hour after the program ends will necessitate reporting the infraction to Children Protective Services (CPS) Parent/Guardian orientation is mandatory for program participation. Verification of youth participant's age may be required.