monday’november’20,’2017’ dear’parent/guardian’ … · 2017-11-17 · parent...

Monday November 20, 2017

Dear Parent/Guardian

The January school holidays are fast approaching;; it’s time to enroll your children in Kingston’s Epic School Holiday Program! The children and educators have put together some wonderful experiences for the next holidays.

Enrolment We commenced annual enrolment in the March 2017 program. Forms A, B & C are now available on Kingston’s website as an editable PDF. If your child has attended a School Holiday Program since April 2017, you only need to fill out Forms B & C and sign. www.kingston.vic.gov.au/schoolholidayprogram

Reminder Please ensure you provide any additional information (eg medical plans, action plans, risk minimisation etc) to support your child’s application for enrolment. If you have provided this information previously and it has been signed by a doctor in the past two years, it is still current;; you do not have to supply it again.

Program Locations For the upcoming January school holiday program we will be operating at 3 locations. Bonbeach Primary School, Chelsea Primary School, Le Page Primary School. Please Note: Arrangements for the Mill Street program in the January School Holidays have not yet been finalized due to the redevelopment of Yarrabah School.. More information will be available shortly. Please contact us if you have any questions in the meantime.

Fees Daily Fee $62.90, Workshops/Excursions –dependent on the activity Late Collection Fee $20 per 15 minutes or part hereof. Late Enrolment Fee $39.30

IMPORTANT NOTICE for Excursion Days. Children must be at the venue by 8.30am unless instructed otherwise by educators to ensure they are accounted for, prepared and ready for departure time.

Applications for enrolment open 9am Monday 27 November, 2017 and close 5pm Friday 15 December, 2017. It is requested that the enrolment form for a child who requires support for inclusion in a program be submitted by Friday 1 December, 2017 to allow time to apply for support funding. Children cannot attend the program until an enrolment form is complete and payment has been made. Enrolments can be submitted by post, email or fax. For details refer to the back page of the brochure. If you have any questions after reading the information enclosed, please feel free to contact the Holiday program team:on 9581 4846 or 9581 4852.

Kind Regards Julie Hasselby Coordinator Holiday Program

to2 January 25 January 2018

How to book

more informationw kingston.vic.gov.au/schoolholidayprogramt 9581 4846 or 9581 4852 e [email protected]

1. Read through this brochure2. Pick the sessions for your child3. Fill out A

form

Application for enrolment If you haven’t enrolled in any of our School Holiday Programs since April 2017 you have to fill in form A.

4. Fill out Bform

Excursion Permission5. Fill out C

form

Booking + Payment download forms online!

Activities are summary only and are subject to change Excursion days: children must be at venues by 8.30am sharp.

please note

Now running at:

Bonbeach Primary School

Le Page Primary School

Chelsea Primary School new!new!

key dates

Enrolments open: 9am Monday 27 November

Enrolments close: 5pm Friday 15 December

Times

7am to 6pm

School HolidayProgram

Children MUST wear a hat and sun smart clothing to play outdoors

save 50%

or more!

TUES 2 JAN

TUES 2 JAN

WED 3 JAN

WED 3 JAN

TUES 9 JAN

TUES 9 JAN

FRI 5 JAN

FRI 5 JAN

MON 8 JAN

MON 8 JAN

WED 10 JAN

WED 10 JAN

THUR 4 JAN

THUR 4 JAN

THUR 11 JAN

THUR 11 JAN

MON 15 JAN

MON 15 JAN

WED 17 JAN

WED 17 JAN

FRI 19 JAN

FRI 19 JAN

TUES 23 JAN

TUES 23 JAN

THUR 25 JAN

THUR 25 JAN

FRI 12 JAN

FRI 12 JAN

TUES 16 JAN

TUES 16 JAN

THUR 18 JAN

THUR 18 JAN

MON 22 JAN

MON 22 JAN

WED 24 JAN

WED 24 JAN

FRI 26 JAN

FRI 26 JAN

places

available

60

0439 868 716

Bonbeach Primary School Coast Banksia Drive, Bonbeach

Le Page places

available

60

0439 868 713

Le Page Primary School Argus Street, Cheltenham

Chelsea places

available

60

0419 510 695

Chelsea Primary School Argyle Avenue, Chelsea

In House DayBonbeach rules; builders & bulldozers game; make chocolate crackles; bocce; dream catches; slip & slide (bring change of clothes and towel).

In House DayChelsea program rules; summer hat decorating; getting to know you games; performing arts; slip & slide (bring change of clothes and towel).

In House DaySummer hat decorating; getting to know you games; capture the frog; make mini pizzas; play dough creations; slip & slide (bring change of clothes and towel).

Excursion – Movies Southland & Braeside Park $95.00Location: 1239 Nepean Hwy, Cheltenham & Lower Dandenong Rd, BraesideTime: 8.45am – 3.00pm Wool friendship bracelets.

Excursion – Movies Southland & Braeside Park $95.00Location: 1239 Nepean Hwy, Cheltenham & Lower Dandenong Rd, BraesideTime: 8.45am – 3.00pm Coloured corners; musical game.

Excursion – Movies Southland & Braeside Park $95.00Location: 1239 Nepean Hwy, Cheltenham & Lower Dandenong Rd, BraesideTime: 8.45am – 3.00pmFinger knitting; octopus.

Workshop – Amazing Race $82.00Galaxy tags; parachute games; water baseball; spray bottle painting.

In House DayGalaxy jars; making wands; hip hop dress up day; recycle clean up art.

Workshop – Water Action (Hands on Science) $82.00Chalk drawing; kinetic sand play.

In House DaySalt dough creations; water cup and bucket relay; basketball knock out game; air rockets.

Workshop – Gym Bus $82.00Dress as your favourite super hero; super hero training academy; snap / celebrity heads; making cookies; water play.

In House DayJewellery making; Wii sports; make your own smoothies.

In House DayMake sherbet with jelly crystals; water balloon fight; chalk drawing; marble painting; poison ball.

In House DayBoxercise; wood work; recycle craft; make your own smoothies; piñata making.

In House DayWater fun (bring a spare change of clothes & towel); water relays; sack races; plaster moulding; scream & run; pompom making.

Excursion – Rush HQ & Lysterfield Park $95.00Location: 39 South Corporate Ave, Rowville & Horswood Rd, LysterfieldTime: 8.45am – 4.00pm In out game; water balloon target; make a book mark.

Excursion – Rush HQ & Lysterfield Park $95.00Location: 39 South Corporate Ave, Rowville & Horswood Rd, LysterfieldTime: 8.45am – 4.00pm Treasure hunt; scream & rum game.

Excursion – Rush HQ & Lysterfield Park $95.00Location: 39 South Corporate Ave, Rowville & Horswood Rd, LysterfieldTime: 8.45am – 4.00pm Slime making; spoons competition.

Workshop – Hip Hop Dance $82.00Make bath salts; dodge ball; make sponge balls have water sponge ball fight; just dance challenge.

Workshop – Water Action Hands on science $82.00Making fairy floss; movie afternoon; beach ball races.

Workshop – Virtual Reality $82.00Balloon volley ball; ship, shark, shore; shaving foam art.

Excursion – Enchanted Maze $95.00Location: 55 Purves Rd, Arthurs SeatTime: 8.45am – 4.30pm Water marble race; colour corners; fruit kebabs.

Excursion – Bicentennial Park $95.00Location: Thames Promenade & Scotch Parade, ChelseaTime: 8.45am – 4.00pm Sack race; wink detective; silent ball.

Excursion – Imax & Museum $95.00Location: Melbourne Museum Precinct, Rathdowne St, CarltonTime: 8.45am – 4.00pm Parachute games; bubble fun.

Workshop – Hands on Science (Water Action) $82.00Pancake breakfast; make stress balls; giant jenga; water pistol and beach ball races.

Workshop – Duck Cameron Magician $82.00Sticky musical statues; animal statues; sticky musical games; music notes.

Workshop – Ninja Warrior Bootcamp $82.00Marble painting; coloured corners; kick ball.

In House Day $62.90Random rules day; make play dough; make lemon slice; slip & slide; ten pin bowling; make a glow worm.

In House Day $62.90Treasure hunt; sculpture wire art making; make holiday program canvas; poison ball.

In House Day $62.90Water games (bring a spare change of clothes); water balloon baseball; pass the water; kite making; line painting; knock out.

Workshop – Hot paint graffiti art $82.00Duck Duck splash; paper planes and race; make a salt jar; slip & slide; 10 pin bowling.

Workshop – 24 Karat Funk Dance $82.00Coloured corners; make mini pizzas; obstacle course.

Workshop – Duck Cameron Magician $82.00Limbo; mask creations.

Excursion – Strawberry farm & Ryes up community playground $95.00Location: 244 Shands Rd, Main Ridge & Point Nepean Rd, RyeTime: 8.45am – 4.00pmPipe cleaner and wool tassel flowers; chalk drawing; giant jenga.

Excursion – Strawberry farm & Ryes up community playground $95.00Location: 244 Shands Rd, Main Ridge & Point Nepean Rd, RyeTime: 8.45am – 4.00pmMake puppets & stuffed animals; dodge ball; make jelly.

Excursion – Eastern Gymnastics $95.00Location: 21 Clarice Rd, Box Hill SouthTime: 8.45am – 3.00pm Red letter; spray bottle art; frozen fruit.

Workshop – Bubble Soccer $82.00Make moon sand; water poison ball; water bottle rocket; fruit kebabs.

Workshop – Bubble Soccer $82.00Water fun slip & slide (bring change of clothes & towel); make lemon slice; basketball knock out game.

Workshop – Hip Hop Dance $82.00Time: 9.00am – 4.00pmLoom knitting; honey joys.

Workshop – Wild Action (Endangered species) $82.00Make honey joys; peg fridge magnets; bubbles; water play.

Workshop – Seaweed Sally $82.00Ultimate hide & seek; learn how to box; make cupcakes; come do a boxercise workout.

Workshop – Japanese Drumming $82.00Make chatterboxes; giant’s treasure; rice paper rolls.

In House Day $62.90Make chocolate balls; make pasta salad; make lemonade; sausage sizzle; scream & run game; three legged race.

In House Day $62.90Pajama day; movie morning; plaster mould/decorating; make smoothies; make origami; scream & run game.

In House Day $62.90Pancake breakfast; emoji book marks; frozen bananas/yoghurt pops; moon sand; water wars; slip & slide (bring towel and spare change of clothes).

Excursion – Sand Safari $95.00Location: Ricketts Point, Beach Rd, BeaumarisTime: 8.45am – 4.00pm Beach ball up; paper lanterns; fruit kebabs.

Excursion – IMAX & Museum $95.00Location: Melbourne Museum Precinct, Rathdowne St, CarltonTime: 8.45am – 4.00pm Make slime; make cookies.

Excursion – Bowling & Laser Tag $95.00Location: 1866 Princess Hwy, ClaytonTime: 8.45am – 4.00pm Hama beading; laser maze.

In House Day – Bonbeach Carnival $95.00Location: Bonbeach Primary School, Coast Banksia Dr, BonbeachTime: 8.45am – 3.00pmGiant slide; face painting; lots of games (bring change of clothes & towel).

Excursion – Bonbeach Carnival $95.00Location: Bonbeach Primary School, Coast Banksia Dr, BonbeachTime: 8.45am – 3.00pmGods eyes; finger knitting; giant slide; face painting; lots of games (bring change of clothes & towel).

Excursion – Bonbeach Carnival $95.00Location: Bonbeach Primary School, Coast Banksia Dr, BonbeachTime: 8.45am – 3.00pmLook up, look down; giant slide; face painting; lots of games (bring change of clothes & towel).

Workshop – Seaweed Sally $82.00Wheels day (bring your bike or scooter and helmet); water poison ball; Mario Cart time trials challenge; movie afternoon and potato chips.

Workshop – Wild Action $82.00Make your own reptile mural; make chocolate spiders; movie afternoon.

Workshop – Gould League $82.00Ice cream in a bag; finger painting; movie & popcorn afternoon.

Public Holiday Public Holiday Public Holiday

School Holiday Programto2 January 25 January 2018

Activities are summary only and are subject to change Excursion days: children must be at venues by 8.30am sharp, unless instructed otherwise by educators.please note

fees In-house Workshop and Excursion fees are dependent on the particular activity and will be advertised for each vacation care period.

Bonbeach

Parent information and booking detailsFEESIn-house $62.90 Workshop and Excursion fees are dependent on the particular activity and will be advertised for each School Holiday Program period.

Commonwealth Child Care Benefit (CCB) and the Child Care Rebate (CCR) are available to eligible families.

LATE BOOKINGSAll enrolments received after 5pm Friday 15 December will be classified as a Late Enrolment and will incur an administration fee of $39.30.Late pick up fees are $20.00 per 15 minutes or part thereof.

HOW TO BOOKEnrolments open: 9am Monday 27 November Enrolments close: 5pm Friday 15 DecemberSubmit your completed forms to the School Holiday Program Office via one of the following options:

By post: Include full payment by cheque or money order to: City of Kingston School Holiday Program PO Box 1000 Mentone VIC 3194

By email: send your completed forms to: [email protected]

By fax: to 9581 4848

Bookings are not accepted at any School Holiday Program venue.

ONCE PROCESSED, ALL FEES ARE NON-REFUNDABLE AND NO CREDIT DAYS GRANTED. Children will not be accepted into any of the Kingston School Holiday Programs unless a booking has been made and fully paid with the School Holiday Program Team. All outstanding fees/amounts owed to any of the City of Kingston Children’s Services programs must be paid in full to eligible to attend the School Holiday Program.

CHILD CARE BENEFIT / REBATERegister with the Family Assistance Office (FAO), 13 61 50, to determine eligibility to receive Child Care Benefit (CCB) and/or the 50% Child Care Rebate (CCR).

SUPPORT FUNDINGFor a child who requires support for inclusion in a program we ask that forms are submitted by 1 December to allow time to apply for support funding.

ABSENCESIf your child is sick or not attending a booked session, please call and notify the program supervisor before 8.30am. Refund/credit will not be granted for absences.

IMPORTANT INFORMATION• Children must be at the venue by 8.30am on

excursion days, unless instructed otherwise by educators to ensure they are accounted for, prepared and ready to go by the departure time.

• Children must bring their own lunch, morning and afternoon tea and a drink bottle. Send your children with a healthy lunch and snacks. We encourage children to lead a healthy, active life styles supported by healthy eating. We seek your support in this endeavour. A fresh fruit and vegetable platter will be available as an additional snack in the afternoon.

• Please ensure children are dressed appropriately for the weather and ensure suitable shoes are worn for playing outside, on play equipment and for walking distances when on excursions. No thongs or open toe shoes.

WORKSHOPS & EXCURSIONSIf attending an excursion, participation is compulsory.

WHAT TO BRING• Hat, water bottle, lunch, drink, snacks

(in line with anaphylaxis and heallthy eating policies)

• Appropriate clothing and footwear (covered shoulders and closed shoes) for seasonal change and excursions

MEDICATIONChildren cannot attend the program unless medication has been provided. Please provide all necessary medications, asthma inhalers, spacers, epipens/anapens, etc. Speak to educators and complete necessary paperwork on arrival.

Action plans are to be completed and submitted with enrolment forms.

AGE REQUIREMENTTo qualify for enrollment in the Kingston School Holiday Program children must be attending school from prep to 14 years of age.

BEHAVIOUR MANAGEMENT POLICYKingston School Holiday Program has the right to remove or refuse further participation of any child whose behaviour is deemed to be inappropriate. Bullying, bad language, and harassment of other children or educators will not be tolerated under any circumstances. For further information see our Policy and Procedures Manual.

CHILDREN WITH ADDITIONAL NEEDSIn accordance with the Application for Enrolment procedure we may be able to provide additional educator support to include children with additional needs and children from culturally and linguistically diverse backgrounds.

Prior to booking, phone Kingston School Holiday Program team on 9581 4846 or 9581 4875 to discuss your specific circumstances.

ANAPHYLAXIS POLICYParents and/or carers of a child/children diagnosed with anaphylaxis please note:

• it is conditional of your application for enrolment into the Kingston School Holiday Program that you agree to your child/children’s anaphylaxis action plan being displayed in the main room of the venue they are attending. This is to ensure the safest possible environment for the child, and that relevant information is readily available to the community at all times.

All parents are to be aware that children with anaphylaxis will be attending the School Holiday Program. When providing food for your children please do not send food containing specified allergens or ingredients as identified on the children’s displayed Action Plans.

Please note: A risk minimisation plan is required to be developed for all children who have been diagnosed with anaphylaxis, asthma, diabetes or any other medical condition in consultation with educators upon enrolment.

PRIORITY OF ACCESSKingston’s School Holiday Program is offered to the general community.

Priority of Access will be given to:

1. Children at risk of abuse or neglect and families in crisis.

2. Children with parents who are working, seeking employment, studying or training.

3. Children not identified in any of the above priority care groups.

ENQUIRIESIf you have any questions regarding the School Holiday Program please contact Council’s School Holiday Program team:

Julie Hasselby School Holiday Program Coordinator

9581 4846

or

Kim Johnstone School Holiday Program Administration

9581 4852

CENTRE CONTACT DETAILS (DURING HOLIDAY PERIOD ONLY)Bonbeach Primary SchoolCoast Banksia Drive, Bonbeach

0439 868 716

Chelsea Primary SchoolArgyle Avenue, Chelsea

0419 510 695

Le Page Primary SchoolArgus Street, Cheltenham

0439 868 713

Per contattare il Comune, chiamateci al numero 131 450

Чтобы связаться с Городским Советом, звоните нам по телефону 131 450

Για να επικοινωνήσετε µε το ∆ήµο, καλέστε µας στο 131 450

Để liên hệ với Hội đồng, gọi chúng tôi theo số 131 450

Kingston’s Language LinePeople of all languages can now contact Kingston on one number 131 450

A Application for EnrolmentSchool Holiday Program

Child details CHILD 1 CHILD 2 CHILD 3

First name:

Family name:

Address:

Suburb:

School child attends:

Cultural background:

Child’s CRN number:

Date of birth:

Gender: male female male female male female

Dietary restrictions: Please specify

Allergies:

List any allergies and attach allergy action and risk minimisation plan as required. Please supply a passport size photo of your child for easy identification by educators

Anaphylaxis: yes no yes no yes no

Has your child been diagnosed as at risk of anaphylaxis? Please attach action and risk minimisation plan and a passport size photo of your child for easy identification by educators

Diabetes: yes no yes no yes no

Attach action and risk minimisation plan as required. Please supply a passport size photo of your child for easy identification by educators

Asthma: yes no yes no yes no

Attach action and risk minimisation plan as required. Please supply a passport size photo of your child for easy identification by educators

Disabilities or additional needs: yes no yes no yes no

Please specify as required. Please supply a passport size photo of your child for easy identification by educators

Immunised to school age: yes no Parent initial yes no Parent initial yes no Parent initial

Please supply a copy of your Complete Immunisation History Statement from Medicare on initial enrolment

Aboriginal or Torres Strait Island descent:

Torres Strait Islander Aboriginal Neither



Photographic consent: yes no Parent initial yes no Parent initial yes no Parent initial

I consent to my child being photographed during activites at School Holiday Program. Photographs may be used in City of Kingstons advertising and Children’s portfolios.

Parent /guardian details PARENT / GUARDIAN 1 PARENT / GUARDIAN 2

Parent / guardian details must be provided unless explanation is provided.

Full name

Address:

Suburb:

Contact number: work home work home

Mobile:

Relationship to child:

Date of birth:

CRN number: registered for CCB? registered for CCB?

Status: Child/family at risk Parent working, studying, training, or seeking

employment

Child/family at risk Parent working, studying, training, or seeking

employment

Language spoken at home:

Do you have other children in child care elsewhere during the School Holiday Program period? yes no If yes, how many?

APPLICATION FOR ENROLMENT - PAGE 1

form

please remember to attach all relevant medical plans and information

Medical detailsMedical clinic: Doctor’s name:

Address: Phone:

Health insurance provider: Membership number:

Medicare number: Ambulance member number:

Emergency contacts / authorised nomineesYou must nominate TWO emergency contacts over the age of 18 years (other than the parents/guardians listed on the previous page) to be contacted in the case of an emergency. Please note in the event that if no emergency contacts are provided and educators cannot contact the parents/guardians, then Department of Human Services (DHS) and/or Victoria Police will become your emergency contacts.

I (parent/guardian) authorise the following people to:

AUTHORISED NOMINEE 1 AUTHORISED NOMINEE 2

Collect my child from the program Collect my child from the program

Authorise the service/educators to take my child outside the venue Authorise the service/educators to take my child outside the venue

Be notified of any accident, injury, trauma or illness involving my child Be notified of any accident, injury, trauma or illness involving my child

Consent to the medical treatment of my child Consent to the medical treatment of my child

Request or permit the administration of medication to my child Request or permit the administration of medication to my child

Name Name

Relationship to child Relationship to child

Address Address

Work/home phone: Work/home phone:

Mobile: Mobile:

Parent / guardian signature:

Custody/access arrangementsAre there any court orders or custody access arrangements the service needs to be informed of? yes no

If yes, please specify details and attach court orders.

LAWFUL AUTHORITY: Parents: All parents have powers and responsibilities in relation to their children that can only be changed by a court order. The Education & Care Services National Regulations 2012 refer to these powers and responsibilities as “lawful authority”. It is not affected by the relationship between the parents, such as whether or not they have lived together or are married. A court order, such as under the Family Law Act, may take away the authority of a parent, or may give it to another person.

Guardians: A guardian of a child also has lawful authority. A legal guardian is given lawful authority by a court order. The definition of “guardian” under the Education & Care Services National Law Act 2012 also covers where a child does not live with his or her parents and there are no court orders. In these cases, the guardian is the person the child lives with who has day-to-day care and control of the child.

PRIVACY STATEMENT: Personal information collected by Council is used for municipal purposes as specified in the Local Government Act 1989. The personal information will be held securely and used solely by Council for these purposes and/or directly related purposes. Council may disclose this information to other organisations if required or permitted by legislation. The applicant understands that the personal information provided is for the above purpose and that he or she may apply to Council for access to and/or amendment of the information.

Requests for access and/or correction should be made to Council’s Privacy Officer. A full copy of our Privacy Policy can be obtained from kingston.vic.gov.au

CONSENT

I consent to the staff of ‘City of Kingston’ seeking medical treatment by a medical practitioner, hospital or ambulance service, or where appropriate, administer such emergency medical treatment as is reasonably necessary and agree to reimburse any expenses incurred by ‘City of Kingston’ in this treatment.

please insert your name

PAGE 2 - APPLICATION FOR ENROLMENT

form

EXCURSION PERMISSION - BONBEACH

Excursion Permission

Bonbeach

B

2 January – 25 January 2018

Only complete this form if your child(ren) are attending the Bonbeach School Holiday Program excursions.Child 1 full name:

Child 2 full name:

Child 3 full name:

Child 4 full name:

Excursions, including regular outings, provide valuable opprortunities for children to explore the wider community and extend the educational program.=

Please tick and sign.

% Risk Assessments have been prepared for all excursions and are available at the programs

% Excursion times are (unless specified otherwise) 8.45am - 4.00pm

% Transport for excursions: Bus, Train and Walking. Daily fee covers cost of transport.

Excursions costs as stated (per child). CCB / CCR discounts (if eligible) will be applied by the enrolment office.

Strawberry farm & Ryes up community playground $95.00

Date: Wednesday 17 January 2018Destination: 244 Shands Rd, Main Ridge & Point Nepean Rd, RyeDepart: 8.45am Return: 4.00pmTransport: BusPlaces available: 60Educator to Child Ratio: 1:15 unless otherwise specified

Movies Southland & Braeside Park $95.00

Date: Wednesday 3 January 2018Destination: 1239 Nepean Hwy, Cheltenham & Lower Dandenong Rd, BraesideDepart: 8.45am Return: 3.00pmTransport: BusPlaces available: 60Educator to Child Ratio: 1:15 unless otherwise specified

Rush HQ & Lysterfield Park $95.00

Date: Tuesday 9 January 2018Destination: 39 South Corporate Ave, Rowville & Horswood Rd, LysterfieldDepart: 8.45am Return: 4.00pmTransport: BusPlaces available: 60Educator to Child Ratio: 1:15 unless otherwise specified

Enchanted Maze $95.00

Date: Thursday 11 January 2018Destination: 55 Purves Rd, Arthurs SeatDepart: 8.45am Return: 4.30pmTransport: BusPlaces available: 60Educator to Child Ratio: 1:15 unless otherwise specified

%

%

%

%

Parent initial

Parent initial

Parent initial

Parent initial

Child 1

Child 2

Child 3

Child 4

Child 1

Child 2

Child 3

Child 4

Child 1

Child 2

Child 3

Child 4

Child 1

Child 2

Child 3

Child 4

Parent / guardian statement

I/we being the parent/guardian(s) of the above named children, give consent for participation in all program days as indicated above. In the event of injury or accident, I/we authorise you to obtain medical assistance for my/our child, including ambulance or hospital as required. I/we agree to pay any costs incurred. I/we have read and understand all policies and procedures associated with the Kingston School Holiday Program and agree to abide by them. I/we understand that a change in circumstance or use of other childcare services may result in further fees payable.

Signed: Date:

Sand Safari $95.00

Date: Tuesday 23 January 2018Destination: Ricketts Point, Beach Rd, BeaumarisDepart: 8.45am Return: 4.00pmTransport: BusPlaces available: 60Educator to Child Ratio: 1:15 unless otherwise specified

%

Parent initial

Child 1

Child 2

Child 3

Child 4

form


Chelsea

B

EXCURSION PERMISSION - CHELSEA


Only complete this form if your child(ren) are attending the Chelsea School Holiday Program excursions.Child 1 full name:

Child 2 full name:

Child 3 full name:

Child 4 full name:


Please tick and sign the excursions your child(ren) will be attending.



Signed: Date:





Strawberry farm & Ryes up community playground $95.00

Date: Wednesday 17 January 2018Destination: 244 Shands Rd, Main Ridge & Point Nepean Rd, RyeDepart: 8.45am Return: 4.00pmTransport: BusPlaces available: 60Educator to Child Ratio: 1:15 unless otherwise specified

IMAX & Museum $95.00

Date: Tuesday 23 January 2018Destination: Melbourne Museum Precinct, Rathdowne St, CarltonDepart: 8.45am Return: 4.00pmTransport: BusPlaces available: 60Educator to Child Ratio: 1:15 unless otherwise specified

Bonbeach Carnival $95.00

Date: Wednesday 24 January 2018Destination: Bonbeach Primary School, Coast Banksia Dr, BonbeachDepart: 8.45am Return: 3.00pmTransport: BusPlaces available: 60Educator to Child Ratio: 1:15 unless otherwise specified





Bicentennial Park $95.00

Date: Thursday 11 January 2018Destination: Thames Promenade & Scotch Parade, ChelseaDepart: 8.45am Return: 4.00pmTransport: BusPlaces available: 60Educator to Child Ratio: 1:15 unless otherwise specified

%

Parent initial

Child 1

Child 2

Child 3

Child 4

%

%

Parent initial

Parent initial

Child 1

Child 2

Child 3

Child 4

Child 1

Child 2

Child 3

Child 4

%

%

%

Parent initial

Parent initial

Parent initial

Child 1

Child 2

Child 3

Child 4

Child 1

Child 2

Child 3

Child 4

Child 1

Child 2

Child 3

Child 4

form


Le Page

B


Only complete this form if your child(ren) are attending the Le Page School Holiday Program excursions.Child 1 full name:

Child 2 full name:

Child 3 full name:

Child 4 full name:






Please tick and sign the excursions your child(ren) will be attending.

EXCURSION PERMISSION - LE PAGE



Signed: Date:





IMAX & Museum $95.00

Date: Thursday 11 January 2018Destination: Melbourne Museum Precinct, Rathdowne St, CarltonDepart: 8.45am Return: 4.00pmTransport: BusPlaces available: 60Educator to Child Ratio: 1:15 unless otherwise specified

Eastern Gymnastics $95.00

Date: Wednesday 17 January 2018Destination: 21 Clarice Rd, Box Hill SouthDepart: 8.45am Return: 3.00pmTransport: BusPlaces available: 60Educator to Child Ratio: 1:15 unless otherwise specified

Bowling & Laser Tag $95.00

Date: Tuesday 23 January 2018Destination: 1866 Princess Hwy, ClaytonDepart: 8.45am Return: 4.00pmTransport: BusPlaces available: 60Educator to Child Ratio: 1:15 unless otherwise specified

Bonbeach Carnival $95.00

Date: Wednesday 24 January 2018Destination: Bonbeach Primary School, Coast Banksia Dr, BonbeachDepart: 8.45am Return: 3.00pmTransport: BusPlaces available: 60Educator to Child Ratio: 1:15 unless otherwise specified

%

%

%

%

%

%

Parent initial

Parent initial

Parent initial

Parent initial

Parent initial

Parent initial

Child 1

Child 2

Child 3

Child 4

Child 1

Child 2

Child 3

Child 4

Child 1

Child 2

Child 3

Child 4

Child 1

Child 2

Child 3

Child 4

Child 1

Child 2

Child 3

Child 4

Child 1

Child 2

Child 3

Child 4

form

Child’s full name(s):

Parent’s name:

Would you like to be added to our mailing list? yes no I am an exsiting client

How would you like to be contacted about future programs? email post please provide relevant details:

Email address:

Please tick your sessions

JANUARY

TOTAL DAYS

TUES 2

WED 3

THUR 4

FRI 5

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MON 15

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THURS 18

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THUR 25

Bonbeach Primary School

Chelsea Primary School

Le Page Primary School

Payment options cheque money order send to PO Box 1000 Mentone VIC 3194 BPay

School Holiday Program Administration will provide you with your biller code and reference number on your invoice for payment upon recipt of your enrolment form

Direct debit Please contact us to arrange direct debit

ONCE PROCESSED, ALL FEES ARE NON-REFUNDABLE AND NO CREDIT DAYS GRANTED. Children will not be accepted into any of the Kingston School Holiday Programs unless a booking has been made and fully paid with the School Holiday Program Team. All outstanding fees/amounts owed to any of the City of Kingston Children’s Services programs must be paid in full to eligible to attend the School Holiday Program.

I agree that City of Kingston and its affiliates, or associates, will charge my credit facilities as set out above. I agree to pay for all of the days my child is successfully enrolled, regardless of whether my child actually attends School Holiday Program. I agree that I am liable to pay for all successfully booked days at the time of enrolment.

I consent to the staff of ‘City of Kingston’ seeking medical treatment by a medical practitioner, hospital or ambulance service, or where appropriate, administer such emergency medical treatment as is reasonably necessary and agree to reimburse any expenses incurred by ‘City of Kingston’ in this treatment.

Parent/guardian signature Date

BOOKING & PAYMENT - JANUARY 2018

C Booking + PaymentSchool Holiday Program: 2 January – 25 January 2018

Office use only

Child’s full name: Parent’s name:

PROGRAM:

Bonbeach

Chelsea

Le Page

CHILDCARE BENEFIT DETAILS:

CCMS enrolment: formal informal

Parent CCB registered? yes no

CCB %

No. of eligible hours

Has CCB been deducted? yes no

CCR service other

PAYMENT RECIEVED:

cheque money order BPay direct debit

Program fees:

CCR estimated fee:

Late booking fee

Total payment received:

BOOKING STATUS:

Booking complete: yes no

Payment processed: yes no

OFFICER DETAILS

Initials

Date

monday’november’20,’2017’ dear’parent/guardian’ … · 2017-11-17 · parent...

Documents