Clone of CJMC ASP 2025 - 2026 Registration

After School Program (ASP) Registration

2026/2027
Age Group
Participant Information

Childs Information
Name

First NameLast Name
Birthday

MonthDayYear
Date (mm-dd-yyyy)
Child's Age
Preferred Name
Preferred name or nickname. If none just type their name.
Pronouns
Status Number
Address

Street Address

Street Address Line 2

CityProvince

Postal Code
Does your child live on-reserve or off-reserve?
Does your child have any allergies? (Food, medicine, pollen, animals, etc.)
If your child does have any allergies, please describe below:
Does your child require an EPI pen or puffer? (If so, your child must have it on them while at ASP or they cannot attend ASP)
Does your child have any behavioral diagnosis/possible behavioral diagnosis we need to be aware of? Do they require medication for it? If yes, please describe in detail below:
Does your child have a 1-1 support worker or psychologist at school? If so, will your child need to have a support worker at ASP as well? We provide support workers for ASP through Ayas Menmen's Early Intervention Services team at SoSahLatch.
Bus Drop-offs

(We will only be providing bus drop-offs to children living at the Condos, and on Upper/Lower Mission Reserve. There will be no bus service for children living on Capilano or Seymour Reserves).
Does your child require bus drop-offs?
*We only provide bus drop-offs to children living at the Condos and Upper/Lower Mission Rez. There is no bus service for Capilano or Seymour Rez.*
What is the drop-off address?
*Please make sure someone is home to accept and sign your child out from ASP. One of our leaders will walk them to the door and get a signature from you or whoever is home with your child.*
Parent / Trusted Adult Information
First Parent / Trusted Adult

First NameLast Name
Relationship to child
Phone Number
xxx-xxx-xxxx
Email
example@example.com
Second Parent / Trusted Adult

First NameLast Name
Relationship to child
Phone Number
xxx-xxx-xxxx
Email
example@example.com
Emergency Contact Information
Name

First NameLast Name
Phone Number
xxx-xxx-xxxx
Email
example@example.com
Relationship to child
Please list other people who may pickup your child from ASP:
*Please note we do not allow children to walk home alone from ASP.

*If your child is going to the Squamish Nation Youth Centre after ASP, please let us know and one of our leaders will bring them to the Youth Centre and ensure they are in the care of Youth Centre staff. Children cannot leave ASP early to go to the Youth Centre. Nor can they bounce back and forth between the two places.

*If your child is staying for another CJMC Program at the gym/lacrosse box after ASP, please let us know and one of our leaders will bring them to their next Program and ensure their staff have your child in their care.

*If you will be picking your child up from the location ASP is at, please let us know by 4pm or preferably in the morning on the day of.
ASP Rules and Expectations
1. Follow all rules and instructions given by ASP leaders/staff; this includes following all bus rules as well (must be seated and buckled at all times; no eating, drinking, swearing, yelling or inappropriate behaviour on the bus).

2. Attendance is required. If your child is unable to attend, please inform us the morning of via email, text or over the phone. If your child misses ASP consistently and without notice (3 times in a row with no communication, or not attending with no communication), we reserve the right to remove them from ASP and give their spot to another child on the waitlist. Please communicate with us. Communication is key.

3. Stay within leaders sight and with the group at all times; while at CJMC and when out on field trips. Stay within the given boundaries at CJMC (no playing on the stage, on the stairs, behind/under the bleachers, in the offices or kitchen or in the bathrooms, weight room or change rooms. Stay out of the parking lot area.).

4. Respect other peoples personal space and bodies (no hitting, kicking, throwing things or any physical harm to other kids/leaders/staff).

5. No inappropriate behaviour, touching, noises, language, and discussions. And no inappropriate use of cell phones while at ASP.

(For example: no sharing bathroom stalls, no kissing, no touching other childrens or their own genitals, no pointing at their own or others private parts, no swearing, no sexual moaning or language; no sexualized dancing (twerking), no hiding in secluded areas away from leaders. These are all things we have personally witnessed previously at ASP).

6. No bullying of any form will be tolerated whatsoever. This goes for children and staff.

7. No exclusion of other children or leaders.

8. Respect all CJMC and ASP staff, property and equipment. Respect property of external facilities we will visit. Respect eachother, and respect yourselves.

9. Throw away your own garbage.

* If any of the above mentioned rules are consistently being broken by a child or if a child is consistently not listening, we reserve the right to take away your child's privilege of coming to ASP the following day. ASP is a privilege, not a right. *
Parental / Trusted Adult Consent
Please read:

I hereby give my approval for my child’s participation in any and all activities prepared by Squamish Nation. In exchange for the acceptance of said child’s candidacy by Squamish Nation, I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless Squamish Nation and all its respective officers, agents, and representatives from any and all liability for injuries to said child arising out of traveling to, participating in, or returning from selected program sessions.

In case of injury to said child, I hereby waive all claims against Squamish Nation including all leaders, staff, affiliates, all participants, sponsoring agencies, advertisers, and, if applicable, owners and lessors of premises used to conduct the event. There is a risk of being injured that is inherent in all activities. Some of these injuries include, but are not limited to, the risk of fractures, paralysis, or death.
Parental Consent Agreements
Confirmation
BY ACKNOWLEDGING AND SIGNING BELOW, I AM AGREEING TO ALL OF THE ABOVE, AND I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THIS ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.
Type Full Name
Signature
Should be Empty:

After School Program (ASP) Registration

Participant Information

Bus Drop-offs

Parent / Trusted Adult Information

Emergency Contact Information

ASP Rules and Expectations

Parental / Trusted Adult Consent

Confirmation