2016 JRM Pre Report
Recreation Report for 2015/16
B/W/U:
Name:
E-mail
# of members in gym/rec membership:
Regular
Ordinary
Associate
# of hours a week facility is dedicated to casual recreation use?
Gym
Pool
Arena
Number of Facilities used for recreation purposes
Activity Information:
# of special events
# of special event participants
# of Rec Clubs
# of Rec Club participants
# of Programs
# of program participants
Please indicate your adherence to the following requirements by checking off the statement.:
Programming must be operated as an organized activity, therefore take the one of the following program formats, competition, clubs, special events, sport leagues or instructional classes/workshops. Age demographics include preschoolers, children, youth and adults
Small B/W/U
Physical Activity Programming - At minimum 1 program or activity per age demographic
Cultural Programming - At minimum 1 program or activity per age demographic
Social Programming - At minimum 1 program or activity per age demographic
Children’s Day Camp - At minimum 1 per summer
Special Event - At minimum 1 per year
Please provide an explanation if you are unable to meet the requirements:
Medium B/W/U
Physical Activity Programming - At minimum 3 programs or activities per age demographic
Cultural Programming - At minimum 3 programs or activities per age demographic
Social Programming - At minimum 3 programs or activities per age demographic
Children’s Day Camp - At minimum 4 weeks per summer
Special Event - At minimum 3 per year
Please provide an explanation if you are unable to meet the requierments:
Large B/W/U
Physical Activity Programming - At minimum 5 programs or activities per age demographic
Cultural Programming - At minimum 5 programs or activities per age demographic
Social Programming - At minimum 5 programs or activities per age demographic
Children’s Day Camp - At minimum 6 weeks per summer and March break
Special Event - At minimum 3 per year
Please provide an explanation if you are unable to meet the requirements:
Upload “THIS IS MY THERAPY” sign images
SUBMIT YOUR PHOTOS
PHOTO 1 - Event Name
*
Individual(s) name in the picture (Left to Right), if applicable
Upload Photo 1 - JPEG file only (min 200 KB and max 3 MB)
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PHOTO 2 - Event Name
Individual(s) name in the picture (Left to Right), if applicable
Upload Photo 2 - JPEG file only (min 200 KB and max 3 MB)
PHOTO 3 - Event Name
Individual(s) name in the picture (Left to Right), if applicable
Upload Photo 3 - JPEG file only (min 200 KB and max 3 MB)
PHOTO 4 - Event Name
Individual(s) name in the picture (Left to Right), if applicable
Upload Photo 4 - JPEG file only (min 200 KB and max 3 MB)
PHOTO 5 - Event Name
Individual(s) name in the picture (Left to Right), if applicable
Upload Photo 5 - JPEG file only (min 200 KB and max 3 MB)
I grant permission to Canadian Forces Morale and Welfare Services to publish and/or use any photo for promotional material
*
I Agree
Submit
Print Form
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