Move Your Way form

Move Your Way

Fill in the information below to apply for Move Your Way support. If successful in your application, these finances cover the cost of any PISE facilitated program or service for people of 19. This includes personal training, programs and memberships.

Personal Information

Please enter the name of the child or youth that will be attending the program(Required)

Enter the date of birth of the applicant that will be attending the program(Required)

An email address that we can use to correspond with in relation to application.

A phone number that we can call regarding the application(Required)

Address(Required)

Street Address Address Line 2 City Province Postal Code

PISE Services

Applying for(Required)

List the name of the camp, program or membership that you are applying for on behalf of the the applicant.

Price

Input the advertised price of the program, camp or membership that the applicant would like to attend. Please note that the cap for this grant is $350.00 per year. You may apply for a service that is a higher price but the grant may not cover the entire fee and the parent/guardian will be responsible for the remaining balance

Rationale and References

Rationale(Required)

Please explain why the applicant requires financial assistance to participate in PISE programs and services. This may include, but is not limited to, social & economic barriers, any diagnoses or medical factors, immigration status, previous negative experiences in sport and physical activity.

Name(Required)

First Last

Please provide the name of a reference who can verify the information included in the previous 'Rationale' section. This person may be a health professional such as physiotherapist or Occupational Therapist, a teacher, social worker, cultural liaison or any other person who can vouch for the individual and their application rationale.

Reference Phone Number(Required)

Please provide a phone number for the reference.

Reference Email(Required)

Please provide an email address for the reference.

Move Your Way

Personal Information

PISE Services

Rationale and References

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