LIFE Program Application

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Please list all members of your household, including all dependant children (0-18 years) and a spouse/partner (if applicable). Please follow the following format: Firstname_Lastname mm-dd-yyyy; IE; Jane_Doe 01-05-1962 Please note: in common-law and martial situations, combined income is required for application. Therefore: both individuals will need to provide proof of income by showing individual notice of assessments.
Option A: 52 Free Admissions to Drop-in Sessions at any Greater Victoria Recreation Centre For use at Esquimalt, Saanich, City of Victoria, Oak Bay, Panorama, West Shore and SEAPARC. > Your L.I.F.E. card must be presented at the time of admission. > One card is issued once per year for each household member. Option B: 52 Free Admissions to Drop-in Sessions at Esquimalt Recreation Centre ONLY.