LEISURE ECONOMIC ACCESS PASS

WHAT IS LEAP?

The City of Nanaimo LEAP program supports families in financial need to access Parks, Recreation and Culture programs and services.

WHAT CAN LEAP BE USED FOR?

50 free admissions per year per person for drop-in swimming, skating, weight rooms and drop-in gymnasium programs
50% off registered programs (maximum up to $40) for all family members up to four times per year per person

DO I QUALIFY FOR LEAP?

Resident of City of Nanaimo, District of Lantzville or Regional District of Nanaimo Electoral Areas A, B or C
Family household income is below Statistics Canada Low Income Guidelines (see chart below)

Please note: Post secondary students are not eligible for LEAP.

Number of People in Household	Annual Household Income
1	$18,520
2	$22,540
3	$28,068
4	$35,017
5	$39,874
6	$44,221
7	$48,568

HOW DO I APPLY?

Submit the LEAP Application online (form below) or in-person at any City of Nanaimo recreation centre
Include a copy of the following:

Prior year Notice of Assessment
Photo ID
Proof of Residency (if different from ID)

First and Last Name of Main Contact

Address

Postal Code

Phone Number

Alternate Phone Number

Phone Number

Family Members / Dependants:

Please provide the names, date of birth of each family member / dependant. If they have an annual income, please provide their total annual income (line 150 on their Notice of Assessment).

Dependant #1 (if applicable)

Last Name

First Name

Date of Birth

Line 150

Dependant #2 (if applicable)

Last Name

First Name

Date of Birth

Line 150

Dependant #3 (if applicable)

Last Name

First Name

Date of Birth

Line 150

Dependant #4 (if applicable)

Last Name

First Name

Date of Birth

Line 150

Dependant #5 (if applicable)

Last Name

First Name

Date of Birth

Line 150

Dependant #6 (if applicable)

Last Name

First Name

Date of Birth

Line 150

Dependant #7 (if applicable)

Last Name

First Name

Date of Birth

Line 150

Dependant #8 (if applicable)

Last Name

First Name

Date of Birth

Line 150

Total

Upload copy of Photo Identification for Main Contact (showing current address)

Upload copy of Notice of Assessment for Main Contact

Upload copy of Notice of Assessment for Other Family Member (if applicable)

By clicking here, I am declaring that the information provided on this form is true. I understand that my LEAP privileges will be cancelled if the information submitted is discovered to be false.

I DECLARE THAT THE INFORMATION PROVIDED ON THIS FORM IS TRUE AND THAT I AM THE PERSON (MAIN CONTACT) APPLYING FOR THE LEAP PROGRAM FOR ME AND/OR FAMILY MEMBERS.

COLLECTION AND USE OF YOUR PERSONAL INFORMATION:
Information collected on this form is done so under the general authority of the Community Charter and Freedom of Information and Protection of Privacy Act (FOIPPA), and is protected in accordance with FOIPPA. Questions about the collection of your personal information may be referred to the Legislative Services Department at (250) 755-4405 or via email at foi@nanaimo.ca.

Last updated: August 12, 2021

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Collection and use of your personal information

Information collected on this form is done so under the general authority of the Community Charter and Freedom of Information and Protection of Privacy Act (FOIPPA), and is protected in accordance with FOIPPA. Questions about the collection of your personal information may be referred to the Legislative Services Department at (250) 755-4405, or via email at foi@nanaimo.ca. Please also see our Privacy Policy.

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