LEAP APPLICATION FORM (2026-2027)

Please complete this form and submit it as part of your application to LEAP by February 27, 2026.

NOTE 1:  Please only submit this form once.  You will have the ability to edit your responses after you submit it should you need to.

NOTE 2:  You must also submit the following supporting documents by February 27, 2026 to St. Benedict C.S.S. by the deadline.

1) Coach's Letter of Confirmation

2) Teachers' Recommendation Form

3) Signed Parent Consent Form for fitness testing with recent photograph

All documents and deadlines can be found in the "LEAP Information & Application Package" located on LEAP website.

There are NO exceptions to the submission deadlines.  It is the applicant's responsibility to complete and submit ALL components of the application on time.  Submission of this online form without the accompanying documents will result in an incomplete application and your removal from the LEAP application process.

If you have any difficulties completing this form please direct all inquiries to Nathaniel Dufresne at St. Benedict Phys Ed Department at (519) 621-4050 ext. 5137 or email nathaniel.dufresne@wcdsb.ca


Email *
SECTION A: APPLICANT INFORMATION
Applicant's Last Name *
Applicant's First Name *
Date of Birth *
MM
/
DD
/
YYYY
Gender *
Primary Parent/Guardian's Full Name *
e.g. Michael Smith
Secondary Parent/Guardian's Full Name
e.g. Anne Smith
Home Phone Number *
519-621-4050
Mobile Phone Number
519-621-4050
Applicant's e-mail address *
Parents can enter their e-mail in the secondary e-mail address field below
Secondary e-mail address
All e-mails will be sent to both e-mail addresses
Home Address *
50 Saginaw Parkway
City *
Postal Code *
N1R 5W1
Current School *
Current Grade *
Please enter your current grade, not the grade you will be in next year.
SECTION B: SPORTS DECLARATION
Please enter the information required about your declared sport.  Your declared sport is the the sport that you have been competing in for at least one year that qualifies you for LEAP.  Sports that allow for a provincial championship or higher outside of school, as an individual or as part of a team make you eligible for LEAP (e.g. Rep Sports teams such as travel, OBA, OVFL, etc.)
What is your declared sport? *
e.g. Centaur Basketball
Level of Play *
e.g. Tier/Division, Regional
Club Affiliation, Team Name *
e.g. OBA, Centaur Basketball
Organization Contact Person *
Organization Contact Phone # *
519-123-4567
Head Coach's Name *
Head Coach's Contact Phone # *
Head Coach's e-mail *
SECTION C: ADDITIONAL SPORTS PLAYED
In the space below please enter in any additional club or community sports played if any.  There is space provided to enter information for up to three additional sports played.
ADDITIONAL SPORT #1: Enter in the Sport, Level of Play, Club Affiliation & Team Name in the space provided.
You must also provide the coaches name, phone number and/or e-mail
ADDITIONAL SPORT #2: Enter in the Sport, Level of Play, Club Affiliation & Team Name in the space provided.
You must also provide the coaches name, phone number and/or e-mail
ADDITIONAL SPORT #3: Enter in the Sport, Level of Play, Club Affiliation & Team Name in the space provided.
You must also provide the coaches name, phone number and/or e-mail
SECTION D: ELECTRONIC VERIFICATION
NOTE: When you submit this form you are verifying electronically that to the best of your knowledge all of the information entered is true.  Any false statements will result in the termination of your application and/or removal from the program.
By checking the box below you agree that all of the information entered in this form is accurate! *
Required
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This form was created inside of WATERLOO CATHOLIC DISTRICT SCHOOL BOARD.

Does this form look suspicious? Report

Google Forms