Activity Application | Peachland Wellness Centre

Peachland Youth Activity Grant

Please note that all funding decisions are at the sole discretion of the Peachland Wellness Centre (PWC) and depend on local demand and available resources. While funding may be limited, we strive to support as many applicants as possible.

1. Child Information

2. Parent/Guardian Information

3. Household Information

Please list any other supports you are receiving (if applicable):
JumpstartKidSportMCFDOther

I understand I may be asked to provide proof of income

4: Activity Details

5: Funding Request

You may apply for more than one type of support up to a total of $300 (maximum $600 per family to Apirl 1, 2026).

6: Consent & Declaration

I declare the above information is true and completeI understand that funds will be paid directly to the organizationI authorize PWC to contact the program provider to verify registration

Signature of Parent/Guardian:

Submission Instructions:
This form may also be submitted to the Peachland Wellness Centre (PWC) located at 4475-4^th Str., Peachland, V0H 1X6 in person, by mail, email at wellnesscentre@telus.net or online at peachlandwellnesscentre.ca. For assistance, contact PWC at 250-767-0141.

For more information regarding the Jumpstart Program go to: jumpstartgrants.smartsimple.ca/s_Login.jsp

Peachland Youth Activity Grant

Phone

Address

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Peachland Youth Activity Grant

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