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Leisure Access (fee assistance) Application 2023

Leisure Access offers financial support for residents with low income living in Kitchener to help them participate in recreational programs.

First name

Last name

Date of birth:

Gender Identity

House number and street

Apt/Unit

City:

Postal code:

Telephone number

Cell number

Email address:

Re-enter email address

Number of adults 18 and older living in your family unit

Number of children 0-17 in your family unit

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