IFCS | A Denver Area Food Bank and More to Nourish Lives

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Recreation Center Voucher Interest Form

Vouchers for recreational activities are available to eligible households within South Suburban Parks and Recreation District and Englewood Parks and Recreation (Englewood & Malley Recreation Centers).

Eligibility for recreation center assistance is based on specific program guidelines including residence within the recreation membership area and monthly income within 200% of the Federal Poverty Level (FPL).

Complete the following form to submit your interest in an application.

Search your current address to identify if you live within the eligible membership areas.

Consent and Agreement

Non-Discrimination Statement

In accordance with federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, this institution is prohibited from discriminating on the basis of race, color, national origin, sex (including gender identity and sexual orientation), disability, age, or reprisal or  retaliation for prior civil rights activity.

Program information may be made available in languages other than English. Persons with disabilities who require alternative means of communication to obtain program information (e.g., Braille, large print, audiotape, American Sign Language), should contact the responsible state or local agency that administers the program or USDA’s TARGET Center at (202) 720-2600 (voice and TTY) or contact USDA through the Federal Relay Service at (800) 877-8339.

To file a program discrimination complaint, a Complainant should complete a Form AD-3027, USDA Program Discrimination Complaint Form which can be obtained online, from any USDA office, by calling (866) 632-9992, or by writing a letter addressed to USDA. The letter must contain the complainant’s name, address, telephone number, and a written description of the alleged discriminatory action in sufficient detail to inform the Assistant Secretary for Civil Rights (ASCR) about the nature and date of an alleged civil rights violation. The completed AD-3027 form or letter must be submitted to USDA by:

  1. Mail:
    U.S. Department of Agriculture
    Office of the Assistant Secretary for Civil Rights
    1400 Independence Avenue, SW
    Washington, D.C. 20250-9410; or
  2. Fax:
    (833) 256-1665 or (202) 690-7442; or 
  3. Email:
    program.intake@usda.gov

This institution is an equal opportunity provider.

This statement was updated 8.3.22 in accordance with USDA updates and guidelines.