Access request for aides and caregivers

To ensure everyone can fully enjoy our culture and leisure programs, we invite aides and caregivers to submit a request to accompany individuals who require assistance.

Whether you are a senior who needs support due to mobility challenges, or a child with a disability who benefits from having an aide or caregiver, we encourage you to complete this form.

A member of our team will contact you soon to discuss how we can best support your participation in City activities.

Participant's First name

Participant's Last name

Please provide the email and phone number of the participant or, if applicable, the accompanying person so that we can follow up.

Phone number

Age of participant

Name of aide or caregiver

Connection with the participant

For which activity or activities will you be accompanied?

Please briefly explain why the participant needs to be accompanied.

By submitting this form, I consent to the collection and use of my personal information in compliance with the City of Beaconsfield's Confidentiality Policy.

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Culture and leisure

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Access request for aides and caregivers