Required fields are marked with asterisks (*)

Department of Parks Recreation and Culture

Subsidy Fee Assistance Application Form

Confidental Information

Applicant must be a Municipality of Port Hope Resident - please read the Port Hope Fee Assistance policy to determine your eligibility.

Family Composition - Adults and Children

(Everyone living in your household must be included in the list below)

I agree that the above information supplied with this application is true and correct.