ActiveAssist
Main Contact
To be the applicant (main contact), you must be at least 18 years of age or older.
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* Required field

Family Details
List all other family members, including spouse and/or eligible dependents who live in the household. Please indicate any family members who do not wish to receive the subsidy by checking the opt out box.
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Upload Documents
Please ensure required documentation is attached. Documents need to be scanned copies in pdf format. Photos and screen shot images are not acceptable.
Specify type of documents being provided. The City of Mississauga reserves the right to request additional documentation. All support documents must be from the most current tax year.
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When applying as an individual or family without dependants the supporting documentation uploaded should reflect the net income for both individuals, show a combined net income, or; prequalify with programs like Ontario Works or the Ontario Drug/Dental/Disability Support Program. Please upload one or more of the following documents:

  • Canada Revenue Agency (CRA) Notice of Assessment(s) T451*,
  • Ontario Works monthly statement**,
  • Ontario Disability Support Program monthly statement**,
  • Goods & Services/Harmonized Sales Tax Credit Notice***,

If your current address does not match the address listed on the document you are providing please also upload one of the documents listed below to show proof of address:

  • Mortgage, rental/lease agreement,
  • Utility bill (hydro, gas, water),
  • Property tax bill,
  • Insurance policy (home/tenant/auto),
  • Current Valid Ontario Driver's Licence,
  • Current Valid Ontario Photo Card

*   Individual document must be uploaded for each person listed on the application form
**   all persons listed on the application form must be listed on the document presented
***   can only be used for those applying as an individual or family with dependants

When applying as family the supporting documentation uploaded should reflect the combined net income for the family, applicant’s marital status and all dependants, or; prequalify with programs like Ontario Works or the Ontario Drug/Dental/Disability Support Program. Please upload one or more of the following documents:

  • Canada Child Benefit Notice,
  • Goods & Services/Harmonized Sales Tax Credit Notice,
  • Ontario Drug/Dental Benefit Eligibility Card with valid Healthy Smiles Card for each dependant,
  • Ontario Disability Support Program monthly statement with Drug Benefit Eligibility Card**

If your current address does not match the address listed on the document you are providing please also upload one of the documents listed below to show proof of address:

  • Mortgage, rental/lease agreement
  • Utility bill (hydro, gas, water)
  • Property tax bill
  • Insurance policy (home/tenant/auto)
  • Current Valid Ontario Driver's Licence
  • Current Valid Ontario Photo Card

**   all persons listed on the application form must be listed on the document presented

Refugees and Qualifying New Comers to Canada are eligible to apply for Active Assist within the first year of receiving the following documents which indicate immigration status. Immigration documentation is required for each member of the family in addition to proof of residency; income is not a requirement.

  • Confirmation of Permanent Residency Form indicating refugee status, issue date within 1 year,
  • Qualifying Categories, BSR, CR, DR, DR2, RA, RS, REF-CDA, REF-OVS, REF-CLM
  • Refugee Protection Claimant Document, issue date within 1 year And,
  • Bank statement or lease/rental agreement to confirm Mississauga address

The information set forth in this application is true and complete to the best of my knowledge. I understand that it is my obligation to update my Recreation account if any changes occur in my family’s financial situation. I understand that this updated information may terminate my eligibility for the program. I understand that any falsified statements on this application or inability to provide documentation upon request can result in termination of any financial assistance granted by the City of Mississauga, Recreation Division. To ensure that available subsidies help as many residents of Mississauga as possible, I am not currently receiving another City-administered subsidy. I also understand that the information provided may be utilised for evaluation/research purposes and I may be contacted by email/ post mail/ phone to provide feedback during participation in the fee assistance program. Participation in research is not a requirement for continued Active Assist funding. All applicants are subject to random verification of supporting documents. It is expected that applicants retain their supporting documents for the duration of their enrollment in the ActiveAssist Program. Customers will not have access to the data provided once the form has been submitted, however, if revisions are necessary please contact our Customer Service Centre – Program Registration at 905 615 4100, Option 1.
Privacy Statement
Personal information on this form is collected by the City of Mississauga under the authority of Section 11 of the Municipal Act, 2001 and the City of Mississauga policy 08-03-06 and will be used for the purpose of ActiveAssist Fee Assistance program administration. Your information may also be used for evaluation and research purposes for the program.
Questions about this collection should be directed to: Manager, Recreation, Customer Service Centre, Paramount Fine Food Centre, 5600 Rose Cherry Place, Mississauga ON L4Z 4B6 Tel: 905-615-4100; Opt 1 - Registration.