Old Ottawa South Community Association - OSCA Financial Assistance (Subsidy) Application

OSCA Subsidy Application*

Already have an account?

Connect

Before completing and submitting this form, please read: OSCA Financial Assistance.

First name *

Last name *

Email *

Mobile *

Date of birth *

Address *

City *

Country *

State/Province *

Region *

Zip/Postal code *

Children

First name *

Last name *

Date of birth *

Minimum age, maximum age less than 17 years.

Adults in Household

First name

Last name

Mobile

Date of birth

Name of Program(s) you are interested in

Please ensure you have read and understand the requirements of OSCA Financial Assistance.

Certification of Application *

Certification of Application I am applying for a fee subsidy and will attach proof of income and/or other support programs (OSAP, ODSP, tax return, etc) I am applying for a program fee exemption due to extenuating circumstances and will attach further explanation in an email or to this form. I am interested in participating in OSCA's "All-In" Program if spaces are available at the start of a session.

Upload document

Please upload additional information (Proof of household income).

If you are uncomfortable uploading personal documents, please contact us.

Electronic signature*

Please sign your name inside the box

Type your name

Signature style

Electronic signature Signature pad

A required field has not been filled.

Please accept all conditions.

Connect to fill this form

Please type in your email or mobile number. We will send you a connection code.

Email or mobile

Connection code

Waitlist

Leave us your coordinates. We will contact you when a spot frees up.

Choose one date

Waitlist for

Respondent

You will receive a confirmation by email.

First name

Last name

Mobile

Participant

First name

Last name

Comment

Please wait...

Close Add

Membership

Your membership is tied to your email address. If you are using the wrong email, your membership will not be detected. You can try disconnecting and connecting using another email address.

If you need further assistance, please write to info@activitymessenger.com. Please include a screen capture if possible.