Rec Respite X ACTN - Group Respite Programs (2025) Interest Form

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Thank you for your interest in Recreational Respite programs in collaboration with ACTN. These are recreational programs are designed to support children and youth through inclusive, engaging, and purposeful activities in a supportive environment.

Program Details:
📍 Location: Hamilton Italian Center, 420 Crerar Drive, Hamilton, ON
🕔 Schedule: October-December 2025 (12 weeks)

Thursdays | 5:00 PM – 7:00 PM – for children and youth ages 6–17

These sessions will focus on building social connections, life skills, and confidence through fun, structured recreational activities. Programming is facilitated by trained Recreational Respite staff and is open to participants with a variety of support needs.

Please complete the form below to express your interest. We provide follow up information and a registration form if we obtain enough interest for the groups.

*Recreational programs may be covered under funding options such as SSAH. Respite services are not covered under the OAP Core Clinical Services.

Email *

Name of Legal Guardian *

Phone number *

We are available for the listed days/times *

Yes

Required

I understand this program requires a minimum 6:1 ratio *

Yes

Required

I understand the cost associated to this program, and the coverage it falls under (i.e. not OAP core clinical services) *

Yes

Required

Number of Children Interested (6-12 years)

Clear selection

Number of Children Interested (13-17 years) *

Submit

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