Child Support/Inclusion Needs Form

For assistance please email osc@esquimalt.ca

Does your child receive funding from one of the below organizations during the school year
Ex. Needs 15 min warning for transitions
IEPs, past care plans, recommendations from school or health care providers, etc.
One file only.
50 MB limit.
Allowed types: txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods.
Esquimalt Parks and Recreation will do their best to provide an inclusion leader for children that are eligible for funding. I understand that submitting this form does not guarantee my child will receive an inclusion worker for camps.
In the event an Inclusion Worker cannot be provided, Esquimalt Parks and Recreation will contact guardians to process a withdrawal.

Personal information contained in this form is collected under Section 26 (c) of the Freedom of Information and Protection of Privacy Act and will only be used for the form’s stated purpose. If you have any questions about the collection or use of your personal information, please contact the Corporate Officer at corporate.services@esquimalt.ca or 250-414-7135. More information can be found through our privacy policy.