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Recreation Support Request Form


  1. 1. Notice
  2. 2. Applicant Information
  3. 3. Parent / Guardian Information
  4. 4. Registered Recreation Programs Information
  5. 5. Details About My Child
  • Notice

    1. The City of Coquitlam strives to provide accessible recreation opportunities. After reviewing this form, a Community Services Coordinator (CSC) will be in contact with you to discuss program support options.
    2. Note
      Our ability to accommodate participant program support depends upon the support needed and available resources. If appropriate support cannot be found, you can withdraw with full refund or register for a different program.
    3. Staff require a minimum of 2 weeks’ notice to review this application and to discuss support options.