2025-2026 Before and After School Program Registration

Family Name*

School Attending*

Schedules are flexible and can always be changed. Drop-ins are always welcome. A simple text to the school phone with changes is all you need to do.

Which mornings do you require care?*

Which afternoons do you require care?*

1. First Name *

1. Last Name *

1. Grade Attending

1. Your Child's Teacher

1. Birth Date*

MonthDayYear

1. Health Care #*

1.Does your child have any allergies?*

YesNo

1.If yes please list, including any food or drug allergies.

1. Does your child have any medical conditions or behaviors we should know about? Please note that if your child requires 1:1 support in the classroom we are unable to accept them into the before and after school program at this time.

1. Comments

2.First Name

2.Last Name

2.Grade Attending

2.Your Child's Teacher

2.Birth Date

MonthDayYear

2.Health Care #

2. Does your child have any allergies?

YesNo

2. If yes please list, including any food or drug allergies.

2. Does your child have any medical conditions or behaviors we should know about? Please note that if your child requires 1:1 support in the classroom we are unable to accept them into the before and after school program at this time.

2. Comments

3. First Name

3. Last Name

3. Grade Attending

3. Your Child's Teacher

3. Birth Date

MonthDayYear

3. Health Care #

3. Does your child have any allergies?

YesNo

3. If yes please list, including any food or drug allergies.

3. Does your child have any medical conditions or behaviors we should know about? Please note that if your child requires 1:1 support in the classroom we are unable to accept them into the before and after school program at this time.

3. Comments

Full Name*

First NameLast Name

Primary*

Area CodePhone Number

Secondary*

Area CodePhone Number

E-mail*

example@example.com

Parent/Guardian 1 Address

Street Address

Street Address Line 2

CityProvince

Postal Code

Full Name

First NameLast Name

Primary

Area CodePhone Number

Secondary

Area CodePhone Number

E-mail

example@example.com

If your address is different than the parent/guardian #1 please fill out the info below. Otherwise move onto the next section.

Address - Same As Parent/Guardian #1

YesNo

Address

Street Address

Street Address Line 2

CityProvince

Postal Code

Full Name*

First NameLast Name

Primary*

Area CodePhone Number

Secondary*

Area CodePhone Number

Are there any individuals authorized to pick up your child(ren) in addition to parents specified on the form? If so, please list.*

Anything else that you think we may need to know or might be useful to the program?

This contract, effective today, for Roland Michener school students only

between

Golden Rule Programs (hereinafter called the “program”) of the first part, located at Roland Michener School (4215 Degeer Street, Saskatoon, SK)

And

(Name(s) of Parents or Guardians) listed above.

The Program and the Parent(s) agree as follows:

1. The program agrees to provide supervision during the hours of 7:30 am to 8:53 am and 3:00 pm to 6:00 pm, Monday to Friday, on all regular school days.

2. If the child attends the program on a full time regular basis the parent/guardian agrees to notify the program of the days and times, via text, that the child will not be in attendance. If the child does not attend the program on a regular basis the parent agrees to notify the program, via text, in advance, re: the child's attendance at the program. More importantly it is crucial for the child/children to know when they are attending as we do not pick children up from their classrooms. Always a good idea to let the classroom teacher know if you think your child/children will need guidance at the end of the school day.

3.3. The parent agrees to pay the program a $50.00 registration fee per family, per school year, which must be paid within 72 hours of completing the registration form or the form/application will be deleted. If you have filled out the form but not paid this fee, your child(ren) cannot attend. This can be paid immediately following the completion of this form and can be paid via EFT. Instructions down below.

In addition, the parent agrees to pay a fee of $5.25/hour to the nearest minute that each child is in care before school and $5.25 for each hour to the nearest minute that each child is in care after school. There is a minimum one hour charge for each before and afternoon care, no matter the amount of time your child is in attendance. After 60 minutes of care, the fee is .0875 cents per minute. The program offers a family rate of $10.50 per hour for families with two or more children in attendance.

4. The total amount owing for the month will be available within three school days after the last day of each month. This invoice will be emailed to you at the email address provided upon registration. This is sent to the email(s) provided and payment is expected so please ensure it is correct. It is sent as an attachment and includes a breakdown of the minimum one hour of care on each end of the day and any additional minutes used as well as any late fees. Payment must be made on or before the payment due date set out in your invoice. Parents will accept a late payment charge of $5/day for every day payment is not received beyond the due date. This late fee will be added to the following month's fees. Payments not received by the last day of the following month will result in immediate suspension from the program until fees are paid in full.

5. The parent agrees to provide the names of all persons other than the parent to whom the program may release the child. The parent agrees that the program shall have no responsibility before releasing the child to that person, other than requesting that person to produce identification. The parent agrees that as soon as the child is released to that person, the program is not responsible for the child in any manner whatsoever. These changes can be texted to our school phone from one of the registered parents/guardians.

6. The parent agrees to provide the program with all information with respect to the child's individual needs, including allergies and any special medical condition that requires special care or attention.
The parent agrees that the program is not responsible for any injury or sickness due to the parent's failure to provide the required information.
The parent agrees that the program has the right to decline admission to any child that the program is unable to support due to cognitive, emotional, physical or behavioral needs that are unable to be met by our typical staffing plan/ratio.
Golden Rule Programs is unable to provide additional staffing or support for children with
diverse needs, nor do we qualify for EA grants or 1:1 supports.
Golden Rule Programs is unable to admit students who received individual classroom support.

It is our goal to do our best to meet children's basic needs, however, we realize that our programs may not be beneficial for every child and that there are limitations in what we can provide. It would be wrong to jeopardize the safety, health and well being of other children entrusted in our care or to offer a service that we cannot
adequately provide. If a child cannot be safe in our program without one-on-one staffing, or their care interferes with our ability to care for other children, we regretfully will not be able to provide care for that child. If you have questions regarding specifics on your child, please reach out prior to registering or paying the $50 fee and we will do our best to help you.

7. Late Pickup: A $30 late fee per half hour will be assessed for any pickups after 6:00pm. Program staff will attempt to text/call parents and all of the contact names on the registration form to arrange pickup. If no contact has been made with any listed contacts by 6:30 pm, arrangements will be made with Mobile Crisis to pick up your children.
If you’re going to be late, please text our school cell phone designated to your school location. Habitual lateness will result in your children no longer being able to attend our program.

8. The parent agrees to advise the program in writing or via text if the child is to be dismissed without supervision/parental accompaniment and at what time the child(ren) is to be dismissed. The program is not responsible for the child(ren) in any way whatsoever from the time the child leaves the premises of the program.

9. The parent agrees that the program is released from all liability (including the physical and legal risk) incidental to the child (ren)'s supervision while the child (ren) are on the playground or the programs premises (In other words if the child is injured while in the care of the program the parent(s) will not take any legal action).

10. The cell phone number for daily communication to the program at your child's school (RM) is 306-380-5589. This number can be used for drop offs and pickups, schedules or changes, and day to day communication with regular staff.

11. SCHOOL CLOSURE DAYS:
The Before and After school program does not operate on any non-school days, including school breaks or professional development days

**The $50 per family registration fee must be paid before registration is complete and your child/children can attend. Your child/ren can begin attending the program upon completion of this form and payment of registration fee. Simply text the school phone to advise our staff of their attendance.

Only Interac Etransfer is accepted at this time. Our business is set up for auto deposit. We do not offer month to month receipts. Receipts for tax purposes will be issued on request, as of February 28 only to those accounts in good standing. Please etransfer (EFT) to goldenrulesaskatoonpayment@gmail.com

This contract, effective today, for St.Kateri school students only

between

Golden Rule Programs (hereinafter called the “program”) of the first part, located at St.Kateri Tekakwitha School (886 Gordon Road , Saskatoon, SK)

And

(Name(s) of Parents or Guardians) listed above.

The Program and the Parent(s) agree as follows:

1. The program agrees to provide supervision during the hours of 7:00 am to 8:40 am and 3:10 pm to 6:00 pm, Monday to Friday, on all regular school days.

2. If the child attends the program on a full time regular basis the parent/guardian agrees to notify the program of the days and times, via text, that the child will not be in attendance. If the child does not attend the program on a regular basis the parent agrees to notify the program, via text, in advance, re: the child's attendance at the program. More importantly it is crucial for the child/children to know when they are attending as we do not pick children up from their classrooms. Always a good idea to let the classroom teacher know if you think your child/children will need guidance at the end of the school day.

3. The parent agrees to pay the program a $50.00 registration fee per family, per school year, which must be paid within 72 hours of completing the registration form or the form/application will be deleted. If you have filled out the form but not paid this fee, your child(ren) cannot attend. This can be paid immediately following the completion of this form and can be paid via EFT. Instructions down below.