Application form page

A. Eligibility Criteria

  • Be a person with a disability, that is, any person with a disability that results in a significant and persistent disability and who is subject to obstacles in carrying out day-to-day activities;
  • Be 5 years of age or older
  • Require the assistance of an accompanying person when carrying out a leisure, cultural or tourist activity for at least one of the following reasons:
    • For eating
    • For getting around
    • For communicating
    • For carrying out personal care
    • For orientation purposes
    • For ensuring the safe conduct of the activity

B. Important information

What documents do you need to provide?
No medical or psycho-social evaluation is required to apply for a Companion Leisure Card (CAL).

In this form, you will have to provide us with one of the following supporting documents:

  • Special Needs Allowance Program (Adult) – Accompaniment services provided
  • Supplement for a handicapped child (Retirement Québec)
  • Amount for severe and prolonged impairment in mental or physical functions (Revenu Québec)
  • Disability amount (Canada Revenue Agency)
  • The Quebec accompaniment card for intercity coach transportation (Fédération des transporteurs par autobus)
  • The STM accompanying card (Société de transport de Montréal)
  • CNIB identification Card

A photo is required in section C. The criteria for the photo are indicated in this section.

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Please make sure that your photo matches all the following criteria:

  • Mandatory format : jpeg.
  • Minimum dimensions : 300 pixels (width) by 300 pixels (height).
  • A passport size photo is required (shoulders to head).
  • The photo must have been taken within the last six (6) months.
  • The photo must be clear.
  • Both black and white or colour photos are accepted.

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Veuillez cocher le ou tous les énoncés qui s’appliquent à vous

Veuillez cocher le ou tous les énoncés qui s’appliquent à vous

  1. you are a recipient of one of the following government programs and measures;
  2. and that you are able to provide evidence to support it.

PDF format required.

  1. you already hold one of the following accompanying cards that required a professional assessment of your support needs;
  2. and are able to attach a photocopy.

PDF format required.

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  • present the card to partner organizations that recognize it;
  • choose a person who is able to act as an accompanying party and meet my needs for a safe and proper conduct of the activity;
  • inform the AQLPH of any change in coordinates, or if ma card is lost, stolen or broken;
  • comply with the prohibition to lend the card to another person.

This card is issued by the Association québécoise pour le loisir des personnes handicapées (AQLPH), with the support of the regional authorities responsible for the recreation of persons with disabilities and the financial participation of the Government of Quebec.

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