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Notice

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Before and After Program Registration

Participant Information

Please Note: if your child is staying after school for the Before and After Care Program, you must write a note in your child’s agenda for every day your child will be staying for the program. Teachers/staff must know when your child is NOT getting on their regular bus.

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Medical Conditions:

Please list any medical conditions or allergies that BAP staff should be aware of, and any medications that may be required during the program. Please enter N/A if there are no medical issues for child. If your child requires medication administration, there will be an additional medication administration form required. 

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Parent/Guardian Contact Information:

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Emergency Contact Information

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Child Pick Up Information

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Parent/Guardian Signature

I hereby give permission to the above mentioned youth to participate in the Municipality of the District of St. Mary’s Before and After Care Program located at St. Mary’s Education Centre Academy.
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Permission to Leave Property

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Waiver

Please Read before signing:

I, the parent/guardian of the above listed participant hereby give my approval for that child to participate in any and all activities pertaining to Before and After Care Program. I, THE UNDERSIGNED, RELEASE AND AGREE TO INDEMNIFY AND HOLD HARMLESS THE MUNICIPALITY OF THE DISTRICT OF ST. MARY’S, ITS STAFF, VOLUNTEERS, AND SPONSORS FROM ALL CLAIMS ARISING FROM ANY LOSS OR INJURY SUFFERED BY THE ABOVE NAMED PARTICIPANT WHILE INVOLVED IN THE BEFORE AND AFTER CARE PROGRAM.

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I, the above listed, have read and understand the above waiver.

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