• Image field 160

  • AFTER SCHOOL PROGRAM (ASP) 

    REGISTRATION FORM

  • A structured afterschool program designed exclusively for residents of Pond Mills and Southdale/Millbank neighborhoods, offering supervised activities, educational support, and recreational opportunities for children in Grades 1–8.

    Who? Grades 1-8

    When?  September 8, 2025 - June 18, 2026

    Where?  370 Pond Mills Road Unit 41 OR 931-1225 Southdale Road East (Choose your location)

    Program Days & Timing - Monday to Friday - 3:30 p.m. - 6:00 p.m.

    Cost / Fees - Free

    Grow, learn, and connect after school, designed exclusively for our residents.

    Questions? Email nharrison@bgclondon.ca or wvanbuskirk@bgclondon.ca 

    Completion of ASP registration and BGCL contract secures the space in the program.  Families will be contacted by BGCL to confirm participation and be sent information and schedules.

  • Participant Information

  • Participant's Date of Birth*
     - -
  • Which location will you be attending?*
  • Does the participant have any medical conditions or allergies we should be aware of?*
  • Are there any medications the participant is taking we should be aware of?*
  • Does your child have any special needs such as Developmental, Physical or Emotional concerns that we should know about? i.e. ADHD, emotional outbursts, or anything where extra attention may be required.*
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.

  • Emergency Contact Information

  • Format: (000) 000-0000.
  • How did you hear about this program?*

  • PERMISSION TO SIGN OUT OF PROGRAM

    Some parents may choose to give their child permission to sign themselves out of program in order to walk home or leave with non-approved persons (friends, family, etc.). Please indicate below if your child has permission to sign themselves out:

  • *

  • You have indicated you do not wish your child to sign themselves out of programming. Please identify two approved adults who have permission to pick your child up from programming. These adults will be required to show Photo I.D. to staff onsite in order to release your child from programming.

  • AUTHORIZATION

    Registration will not be processed without a signature below.

    I consent for my child to participate in BGCL's After-School Program at the designated site selected.

  • Date Signed
     - -
  • Should be Empty: