Accessibility Tools

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.

Invalid Input

/ / Invalid Input

Invalid Input

Invalid Input

Invalid Input

Invalid Input

Invalid Input

Invalid Input

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. 

Invalid Input

Parent/Guardian Contact Information:

Invalid Input

Invalid Input

Invalid Input

Invalid Input

Invalid Input

Invalid email address.

Invalid Input

Emergency Contact Information

Invalid Input

Invalid Input

Invalid Input

Invalid Input

Media Release

As part of our efforts to promote the Before and After Program and the activities and achievements of students, personal student identifying information, including name, grade, school, video/voice/audio recordings, images (photos) of students and/or student work will also be shared with the Regional Centre for Education for use in their print, online and social media (Twitter, Facebook, etc.) promotional platforms.

Invalid Input

Child Pick Up Information

Invalid Input

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.
Invalid Input


Invalid Input

Permission to Leave Property

Invalid Input

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.

Invalid Input

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

Invalid Input


Invalid Input

Invalid Input

Go to top