The Middlesex YMCA is a non-profit health and human services organization which offers high quality programs, services, and facilities that are made accessible to individuals and families, of all income levels through our Open Doors membership. Through use of a sliding fee scale, any person who wants to participate in YMCA programs can do so.

In order to assure that the program is administered in a consistent manner, and that funds can be fairly distributed, the following documentation must accompany the Open Doors application.


Copy of last years tax return 1040A
Copy of your last two pay stubs


Copy of social security or disability checks or bank statment
Copy of budget sheet for State assistance


Your W-2 form is NOT an acceptable form of documentation.


If you don't have a copy of your most recent tax return, call the IRS at 1-800-829-1040 to request a copy. If you did not file taxes last year, or if you don't have the alternative documents noted above, you must submit a detailed letter that explains the reasons why, and that specifies your current life situation that makes financial assistance necessary.


Please complete the attached application thoroughly, and attach the required income documentation. Once approved, your subsidy level will remain the same for 1 year, after which time, updated documentation must be provided. If currently unemployed, initial approval will be for a period of three months, after which time, updated documentation of your employment status must be provided.


Open Doors applications will be reviewed within 2-3 business days of their submission. Following that timeframe, please call the Y at 860-343-6201 to check on the status of your application.

Open Doors Application