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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 for children and youth.  After reviewing this form, a Community Services Coordinator will be in contact with you to discuss your child’s recreation support plan.  

      A recreation support plan can support your child’s experience by:

      • Providing key information to program leaders 
      • Employing strategies such as: having resources including visual cards and noise cancelling headphones available & ensuring program spaces meet accessibility requirements 

      Our ability to accommodate may depend on:

      • Level of support requested and available resources at the time of registration
      • Behaviours beyond the scope of a recreation support plan may include: physical and verbal aggression, wandering/running from the group, other behaviours placing staff and/or participants in unsafe situations
      • Recreation staff do not administer medication or directly assist with feeding, dressing or toileting
      • Ensuring program spaces meet accessibility requirements

      Please note: recreation staff and volunteers do not support participants in a one-to-one capacity. Caregivers can arrange for their own support person (EA, BI), trusted family member or friend (over 16 years) to accompany their child if needed. 

      • One-on-one support opportunities are not guaranteed and if available are allocated on a needs basis.
      • Patrons who require direct support to safely enjoy our services can bring a support person with them at no additional cost. It is expected the support person will be with the customer throughout their visit and be fully engaged in supporting them. Please let the front know upon arrival.

      For late registrations such as waitlist openings or any withdrawals, contact us directly at 604-927-6076 

      Any registrations not listed on this form require completion of a NEW request form.