Skip to main content
Header
Contact Us
Search
Search
Menu
Header
Contact Us
Main
Parks & Recreation
Admission Rates & Passes
LIFE Program
Leisure Assistant Pass
Donations
Centennial Walkway
Esquimalt Gorge Park
Drop-In Schedules
Fitness: Weight Room/Drop In
Sports fields
Esquimalt Gorge Park Pavilion
Green Shores at Esquimalt Gorge Park
Facilities
Facility Rentals & Event Permits
Book a Park
Book a Facility or Field
Special Event & Filming Permits
Programs & Registration
Adult
Aquatics
Lifeguard Training Programs
Swim Instructor Training Programs
Preschool
Camps
Camp FAQs
Inclusion & Integration Support
Out of School Care
Fitness
Pickleball
Pickleball Court Rentals and Programs
Pickleball Frequently Asked Questions
Youth
Ice Arena
Your Online Account
Parks & Recreation Forms
Parks
Branch Out: Community Stewardship Program
Descriptions & Locations
Adventure Park
Dogs in Parks
Natural Areas & Ecology
Trees & Urban Forestry
Waterways & Beach Access
Walking & Cycling
Municipal Government
Budget
Bylaws & Enforcement
Bylaws
Bylaw Adjudication System
Bylaw Complaint
Pay Fines
Committees
Advisory Planning Commission
Board of Variance
Capital West Accessibility Advisory Committee
Design Review Committee
Environment, Parks & Recreation Advisory Committee
Local Grants Committee
Current Vacancies
Contact Us
Communications
Department Contacts
Council Meetings
Agendas, Minutes & Reports
Council Policies
Meeting Resolution Summary
Public Input
Departments
Employment Opportunities
Current Opportunities
Course Instructors
Professional Associations and Memberships
Recreation Jobs Skills
Elections
Freedom Of Information
Insurance Claims
Mayor & Council
Contacting Council
Councillor Profiles
Council Appointments
Mayor's Annual Address 2023
Past Mayors & Reeves
Proclamations
Property Taxes
Late Taxes & Penalties
Property Assessment
Property Tax Payments
Public Hearings
Reports & Projects
Annual reports
Climate Reports
Current Projects
Public Safety Building Construction Project
Financial Reports & Budgets
Statement of Financial Information Reports
Municipal Accomplishments - Period Reports
Past Project Reports
Strategic Plans & Council Priorities
Community Planning & Development
Current Development
Maps
Development Tracker
Rezoning Applications
Development Permit Applications
Development Variance Permit Applications
Development Guides & Information
Property Information & Building Plan Requests
Secondary Suites
Detached Accessory Dwelling Units (DADUs)
Commercial & Industrial Development
Making an Application
Development Permit Application
Development Variance Permit Application
OCP Amendment Application
Fees
Planning
Official Community Plan
Housing
Public Art
Building, Business & Economy
Building permits & inspections
Development applications and forms
Business Licences
BizPaL
Application & Business Classifications
Business Licence Fees
Cannabis and liquor licencing
Bids & Tenders
Economic Development
Why Esquimalt
Economic Development Projects
Business and Industry Resources
Business Façade Improvement Program
Community & Culture
About Esquimalt
Climate Action & Environment
Climate Action Rebates for Residents & Businesses
Climate Action & Adaptation
Community Gardens
Electric Vehicle Charging
Home Heating Oil Tanks
Municipal Initiatives
Pesticide Reduction & Disposal
Regional Initiatives
Watersheds
Community Events Calendar
Community Grants
First Nations & Indigenous Relationships
Heritage & Culture
Archives
Online Collections
Memorial Banner Program
Inclusivity, Diversity, Equity, Accessibility in Esquimalt
Living Here
Accessibility
New Resident Resources
News & Public Notices
Esquimalt Alert
Public notices
Subscribe
The Current Community Newspaper
Traffic Updates
Public Art
Ways to Get Involved
Service and community groups
Spirit Awards
Volunteer Opportunities
Youth Resources
Municipal Services
Application & Permits
Animal Control
Urban Deer in Esquimalt
Garbage & Recycling
Compost
Contacts
Garbage
Regulation
Hazardous Waste
Integrated Resource Management
Kitchen Scraps
Recycling
Yard & Garden Waste
Graffiti
ETAG
Esquimalt Alert
Esquimalt Fire Rescue
Burning & Fire Bylaws
Fire Prevention & Recovery
Home Heating Oil Tanks
Public Education
Esquimalt Emergency Program
Emergency Radio Communications
Emergency Support Services
Local Hazards and Being Prepared
Extreme Weather Safety - Shelter In Place
Earthquakes
Hot Weather Safety Tips
Tsunami
Tsunami FAQ
Neighbourhood Emergency Preparedness Program
Volunteer Opportunities with the Emergency Program
Policing in Esquimalt
Report a Problem
Sewers & Drains
Inflow & Infiltration
Pipe Ownership
Sewer & Drain Blockages
Watersheds
Transportation & Roads
Active Transportation Planning
Parking
Roads & boulevard maintenance
Sidewalks
Traffic updates
Breadcrumb
Home
LIFE Program Application 2024
LIFE Program Application 2024
Full Name (Primary Applicant)
Mailing Address (including postal code) - MUST be a resident of Esquimalt
Address
Address 2
City/Town
Province
Postal Code
Phone Number
Email Address
Birthdate
List Additional Household Members / Dependants (Names and Birthdates)
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.
Final Submission
Pass Option
- Select -
A 52 Regional Drop in Passes (physical card needed for access)
B 52 Esquimalt Only Drop in Passes (electronically in Esq System)
C 50% off annual Esquimalt Only Pass (prices differ based on age)
D 50% off annual Regional Pass ($264 after discount)
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 (electronically added to Esquimalt's system)
OPTION C: 50% off annual Esquimalt only pass (total after discount: adult: $192.50, senior: $146.50, youth $100, child $80 > electronically added to Esquimalt's system)
OPTION D: 50% off Regional Recreation pass (total after discount: $276 > electronically added to Esquimalt's system, physical card needed to access all other centres)
CAPTCHA