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Contact
About
Who We Are
Meet our Team
Meet Our Educators
Board of Directors
Standards of Excellence
Our Partners
Our Impact
Testimonials
Programs
Current Programming
Tiny Toes Daycare
Zap Out of School Care
Limitless Youth
School Break Camps
Summer Camps
News & Events
News
Events
How You Can Help
Take Action
Volunteer with Us
Fundraise with Us
Work with Us
Sponsor Us
Sponsor
Major Donors
Donate
Zap Out of School Care 2026
Program Registration – ZAP out of school care 2026
Program Options
*
Before School Care Only (Includes No School Fridays)
After School Care Only (Includes No School Fridays)
Before & After School Care (Includes No School Fridays)
Full Day Drop In
ZAP Junior – Attending AM Kindergarten
ZAP Junior – Attending PM Kindergarten
Preferred Start Date
*
MM slash DD slash YYYY
Preferred Start Date – Additional Info
Child's Information
Child's Name
*
First
Last
Child's Address
*
Street Address
City
Postal Code
Child's Birthdate
*
MM slash DD slash YYYY
Child’s Birthdate
School Attending
School Attending
Grade
Grade
Gender
*
Gender
Parent / Guardian Contact Information
Mother / Guardian
*
Name
Cell#
Work#
Child's Address
*
Street Address
City
Postal Code
Mother / Guardian Email
Email
Parent / Guardian Contact Information
Father / Guardian
*
Name
Cell#
Work#
Child's Address
*
Street Address
City
Postal Code
Father / Guardian Email
*
Email
Parent/Guardian with legal custody
*
*If there is a custody order please include a copy with your registration
Emergency Contact Information
Emergency Contact (Cannot be Mother or Father, must have a local address)
Emergency Contact Name
*
Name
Cell#
Work#
Emergency Contact Address
*
Emergency Contact Address
Emergency Contact Address
*
Street Address
Address Line 2
City
Postal Code
List of People allowed to Pick up your child
Are there any immediate family members that should be denied phone calls with your child?
Additional people who may pick up your child:
Who will pick up child within 30 minutes if they are ill. (Mother, Father, or Emergency Contact)
*
Medication Required (epi pen, puffer, etc.)?
*
Yes
No
Medication Required Type
Medication Required Type
Relevant Health information (Medical Condition (s))?
*
Yes
No
List Medical Condition(s):
*
List Medical Condition(s):
Does your child have any pre-existing conditions that may present as influenza like symptoms? Ex: Allergies, chronic cough, etc
*
Yes
No
List pre-existing Condition(s):
*
List pre-existing Condition(s):
Is Your Child Immunized?
*
Yes
No
Allergies?
*
Yes
No
Allergies please list
Dietary restrictions please List
Does your child have any Developmental/Learning (ie. Diagnosed or suspected ADD/ADHD/ODD/Autism/Delays)
*
Yes
No
If yes, please indicate details:
*
Does your child require any additional assistance?
*
Yes
No
If yes, please indicate details:
*
Please list any other relevant information:
Cultural Background:
Cultural Background:
I agree:
*
Select All
1. I have been advised of the program activities, and I am aware that certain risks are inherent in my child’s participation in the program activities.
2. I understand that every care and attention will be given to the health and comfort of the participant and that BGC Fort McMurray Board and Staff cannot be held liable for any injuries sustained.
3. I hereby give permission that my child listed above may be given emergency first aid treatment by a staff member from this program deemed necessary. I also give consent for my child to be transported by car or ambulance to an emergency center for treatment and agree to hold this program and its employees harmless. Any costs associated with medical care and treatment (including ambulance fees) will be the responsibility of the parent/guardian.
4. If I cannot be contacted immediately, medical or surgical treatment can be administered to my child in the case of an accident or emergency, as prescribed by a treating physician, and hold this program and its employees harmless.
5. I understand that participation in programs, events, and activities at BGC Fort McMurray (formerly Boys & Girls Club of Fort McMurray) may involve movement throughout the facility, including indoor spaces, outdoor play areas, pathways, and parking lots. While all reasonable precautions are taken to ensure safety, I acknowledge that accidents such as slips, trips, and falls may occur both inside and outside the facility. By signing below, I agree that BGC Fort McMurray, its staff, volunteers, and representatives are not responsible for any injury, accident, loss, or damage that may occur to my child(ren) or myself while on BGC property or participating in BGC activities, except in cases of gross negligence.
6. It shall be the discretion of the leader of the activity as to what steps must be taken for the welfare and safety of the participant. Each program is a group living experience; members of each group are expected to participate fully in the program and to behave in the appropriate manner. Each child is given as much care and attention as possible, but the parents and the children must note that continuous disruptive behaviour, which affects the enjoyment and safety of others, may result in the child being sent home.
7. I, the Parent/Guardian of the child, do hereby agree to give BGC Fort McMurray permission to take pictures of my child while participating in the various programs and activities at the BGC Fort McMurray for the purpose of advertisement, promotion and publicity campaigns. This might include posting to the internet.
8. I hereby permit that my child listed above can participate in spontaneous field trips to the local park or walks in the neighbourhood that would involve taking the child outside of the child care program premises for their benefit in attendance at this program. If major field trips (involving transportation in a vehicle) are planned, a separate permission form will be provided in advance for parents/guardians to sign. This form will include the date, transportation and supervision arrangements of the activity.
9. I give permission to release my child’s information to the Alberta Child and Family Services Licensing Officer for quality and licensing purposes.
10. I understand that if my child displays ANY symptoms of illness, they will be isolated from the other children, and I must arrange pickup within 30 minutes of being contacted
11. I understand that my child is to be picked up by the program closure time. (Your child must be signed out every day). If I do not adhere to this, I understand that it will result in a $1.00 per minute charge for each minute that I am late. I fully understand all the information in this form. NOTE: NO REFUNDS WILL BE GIVEN.
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