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Full days from just $59.00
% CCB / CCR applicable
Bonbeach, Dingley, Moorabbin 7am to 6pm
Mill St 7.30am to 6pm% Great for working parents
4 convenient locations
% All over Kingston
Join the epic fun these school holidays!
How to book
more informationw kingston.vic.gov.au/schoolholidayprogramt 9581 4846 or 9581 4875 e [email protected]
1. Read through this brochure2. Pick the sessions for your child3. Fill out A
form
Application for enrolment (if you did not enrol in the March/April program in 2015)
4. Fill out Bform
Excursion Permission5. Fill out C
form
Booking + Payment
~ everyone is welcome ~
Holiday Programsee youthere!
Aspendale
Bonbeach
Dingley
Moorabbinprogram fees
In-house $59. 00
Workshop and Excursion fees are dependent on the particular activity.CCB/CCR applicable
locationsMill St Aspendale Yarrabah School
Bonbeach Primary School
Dingley Primary School
Moorabbin Primary School
key datesEnrolments open: 9am Monday 29 Feb
Enrolments close: 5pm Friday 18 March
Mill St Aspendale enrolments close 5pm Friday 11 March
note
29 March – 8 April 2016Holiday Program
download forms online!
save 50%or more!
BonbeachBonbeach Primary Breeze Street MELWAYS: 97 D5
places
available
60Yarrabah School 23 Mill St MELWAYS: 92 H3
Mill St Aspendale places
available
45
Activities are summary only and are subject to change Excursion days: children must be at venues by 8.15am sharp.please note
MON 28 MAR
TUE 29 MAR
THUR 31 MAR
WED 30 MAR
FRI 1 APR
MON 4 APR
TUE 5 APR
WED 6 APR
THUR 7 APR
FRI 8 APR
0418 437 832 0439 868 716
Public Holiday Public Holiday Public Holiday Public Holiday
Autumn WelcomeHand print maple tree, parachute fun, garden vegetable platter, summer cap decorating, bag tags.
Welcome DayBonbeach rules, ‘Getting to know you’ games, fruit kebabs, coloured corners, loom band creations, make flubber.
Welcome Day‘Getting to know you’ games, zap, name wall, make honey joys, water painting names.
Welcome DayMoorabbin rules, paper plane making, origami designs, recycled craft creations.
Workshop – Puppet Show $75Polaroid’s and photo frames, grass head pets.
Excursion – Skateworld $80209 Boundary Rd, Mordialloc Depart: 8.15am Return: 3.30pmMake a kite, painting, top trumps.
Excursion – Churchill National Park $76Churchill Park Dve, RowvilleDepart: 8.15am Return: 3.30pmDead fish, spray bottle art.
Excursion – AMF Bowling $76938 Nepean Hwy, MoorabbinDepart: 8.15am Return: 3.30pmHuman knot challenge, hockey 1, 2, 3, 2-square fun.
Excursion – Livie’s Place Adventure Playground $76Bolard Dve, LyndhurstDepart: 10.30am Return: 2.30pm
Excursion – Collingwood Children’s Farm $7818 St. Heliers St, AbbotsfordDepart: 8.15am Return: 3.30pmTable tennis rounders, finger puppets, in/out game.
Excursion – X-Treme Air $851 Fiveways Blvd, KeysboroughDepart: 8.15am Return: 3.30pmMake bath salts, coloured corners, pizza muffins.
Excursion – Shrine of Remembrance and Botanical Gardens $76Birdwood Ave, MelbourneDepart: 8.15am Return: 3.30pmJewellery making, balloon volleyball, obstacle course.
Teddy Bear PicnicMake your own teddy bear, teddy bear bow-ties, decorate teddy bear biscuits.
Workshop - Cartoonist $75PJ day!, celebrity heads, PJ dance party, nachos, movie afternoon.
Workshop - Hot Paint Graffiti $77Make a bouncy ball, plaster fun, parachute games, make lemon slice.
Workshop - Wild Action – Biodiversity $77Backyard BBQ – (build your own burgers), dirty earth worms, cricket – can children defeat the leaders?
Bollywood DayBollywood headdress making, chiffon outfits/skirts, Bollywood dancing/music, Indian cooking activity.
My Kitchen Rules
Make pizzas, fruit salad, make Anzac biscuits or slice, Hama beading, make a penguin, mask creations.
Harry Potter’s Masterchef Day
Potions class, make wizz fizz, weird and wonderful slushies, make your own rock candy wands, jelly.
The Great Outdoors
Pitching tents, bush tucker, orienteering, North, South, East, West game, scavenger hunt, survival skills.
Excursion – Super Zu Play Centre $76364 Boundary Rd, Dingley VillageDepart: 11.00am Return: 2.30pmVistit SuperZu indoor adventure park, climb the massive volcano, run around the entire centre and play on all the major attractions without ever touching the ground. Obstacle courses, jump rope.
Excursion – Kinglake National Park & Mason Falls $85Mason Falls Rd, Kinglake WestDepart: 8.15am Return: 4.00pmHot chip lunch, woolen friendship bracelet making, dodgeball.
Excursion – Bicentennial Park & Sausage Sizzle $76Thames Prom & Scotch Pde, ChelseaDepart: 8.15am Return: 3.30pmPaper flowers/make a garden, fruit salad.
Excursion – Camp Manyung $8935 Sunnyside Rd, Mt. ElizaDepart: 8.15am Return: 3.30pmFlying fox, giant swing tree climb.
Workshop – Dinosaur Diggers $7511.00am-1.00pmTunnel ball competition, egg carton dinosaurs.
Excursion – Rock Climbing @ Bayside Rock $839 Network Dve, Carrum Downs Depart: 8.15am Return: 3.30pmJack in the pack, bath salts (at children’s request), jewellery making, Uno challenge.
Excursion – Rock Climbing @ Bayside Rock $839 Network Dve, Carrum Downs Depart: 8.15am Return: 3.30pmScream and run, movie afternoon with popcorn, moon sand.
Excursion – Movies @ Southland $761239 Nepean Hwy, CheltenhamDepart: 8.15am Return: 3.30pmFrisbee golf, peg segment candle holders, charades with a twist.
Excursion – Trampolining @ Jump Central $76Cochranes Rd, MoorabbinDepart: 10.00am Return: 2.00pmParachute play, toliet tissue outfits.
Excursion – Comedy Festival $89Swanston St & Collins St, MelbourneDepart: 8.15am Return: 3.30pmFruit kebabs, just dance.
Excursion – Comedy Festival $89Swanston St & Collins St, MelbourneDepart: 8.15am Return: 3.30pmHama beads, guess that song, nachos for afternoon tea.
Excursion – Comedy Festival $89Swanston St & Collins St, MelbourneDepart: 8.15am Return: 3.30pmSock puppets & show, wet chalk drawings, GaGa ball.
Happy un-birthdayHelp us celebrate everyone who had a birthday throughout term 1.Bake cupcakes, party games, karaoke, birthday calendars, birthday cards.
Workshop - Duck Cameron – Magic Show $75Popcorn, fruit kebabs, party games, movie afternoon.
Workshop - Duck Cameron – Magic Show $75Ocean jars, heads down/thumbs up.
Workshop - Hot Paint Graffiti $77Disco, cookie decorating, shoe golf, yarn dolls.
School Holiday Program 29 March – 8 AprilSchool Holiday Program 29 March – 8 April
DingleyDingley Primary Centre Dandenong Rd MELWAYS: 88 F6
places
available
55
Activities are summary only and are subject to change Excursion days: children must be at venues by 8.15am sharp.
fees In-house $59.00 Workshop and Excursion fees are dependent on the particular activity and will be advertised for each vacation care period.
MON 29 MAR
TUE 29 MAR
THUR 31 MAR
WED 30 MAR
FRI 1 APR
MON 4 APR
TUE 5 APR
WED 6 APR
THUR 7 APR
FRI 8 APR
MoorabbinMoorabbin Primary Worthing Road MELWAYS: 77 E7
0439 868 714 0439 868 713
places
available
60
Public Holiday Public Holiday Public Holiday Public Holiday
Autumn WelcomeHand print maple tree, parachute fun, garden vegetable platter, summer cap decorating, bag tags.
Welcome DayBonbeach rules, ‘Getting to know you’ games, fruit kebabs, coloured corners, loom band creations, make flubber.
Welcome Day‘Getting to know you’ games, zap, name wall, make honey joys, water painting names.
Welcome DayMoorabbin rules, paper plane making, origami designs, recycled craft creations.
Workshop – Puppet Show $75Polaroid’s and photo frames, grass head pets.
Excursion – Skateworld $80209 Boundary Rd, Mordialloc Depart: 8.15am Return: 3.30pmMake a kite, painting, top trumps.
Excursion – Churchill National Park $76Churchill Park Dve, RowvilleDepart: 8.15am Return: 3.30pmDead fish, spray bottle art.
Excursion – AMF Bowling $76938 Nepean Hwy, MoorabbinDepart: 8.15am Return: 3.30pmHuman knot challenge, hockey 1, 2, 3, 2-square fun.
Excursion – Livie’s Place Adventure Playground $76Bolard Dve, LyndhurstDepart: 10.30am Return: 2.30pm
Excursion – Collingwood Children’s Farm $7818 St. Heliers St, AbbotsfordDepart: 8.15am Return: 3.30pmTable tennis rounders, finger puppets, in/out game.
Excursion – X-Treme Air $851 Fiveways Blvd, KeysboroughDepart: 8.15am Return: 3.30pmMake bath salts, coloured corners, pizza muffins.
Excursion – Shrine of Remembrance and Botanical Gardens $76Birdwood Ave, MelbourneDepart: 8.15am Return: 3.30pmJewellery making, balloon volleyball, obstacle course.
Teddy Bear PicnicMake your own teddy bear, teddy bear bow-ties, decorate teddy bear biscuits.
Workshop - Cartoonist $75PJ day!, celebrity heads, PJ dance party, nachos, movie afternoon.
Workshop - Hot Paint Graffiti $77Make a bouncy ball, plaster fun, parachute games, make lemon slice.
Workshop - Wild Action – Biodiversity $77Backyard BBQ – (build your own burgers), dirty earth worms, cricket – can children defeat the leaders?
Bollywood DayBollywood headdress making, chiffon outfits/skirts, Bollywood dancing/music, Indian cooking activity.
My Kitchen Rules
Make pizzas, fruit salad, make Anzac biscuits or slice, Hama beading, make a penguin, mask creations.
Harry Potter’s Masterchef Day
Potions class, make wizz fizz, weird and wonderful slushies, make your own rock candy wands, jelly.
The Great Outdoors
Pitching tents, bush tucker, orienteering, North, South, East, West game, scavenger hunt, survival skills.
Excursion – Super Zu Play Centre $76364 Boundary Rd, Dingley VillageDepart: 11.00am Return: 2.30pmVistit SuperZu indoor adventure park, climb the massive volcano, run around the entire centre and play on all the major attractions without ever touching the ground. Obstacle courses, jump rope.
Excursion – Kinglake National Park & Mason Falls $85Mason Falls Rd, Kinglake WestDepart: 8.15am Return: 4.00pmHot chip lunch, woolen friendship bracelet making, dodgeball.
Excursion – Bicentennial Park & Sausage Sizzle $76Thames Prom & Scotch Pde, ChelseaDepart: 8.15am Return: 3.30pmPaper flowers/make a garden, fruit salad.
Excursion – Camp Manyung $8935 Sunnyside Rd, Mt. ElizaDepart: 8.15am Return: 3.30pmFlying fox, giant swing tree climb.
Workshop – Dinosaur Diggers $7511.00am-1.00pmTunnel ball competition, egg carton dinosaurs.
Excursion – Rock Climbing @ Bayside Rock $839 Network Dve, Carrum Downs Depart: 8.15am Return: 3.30pmJack in the pack, bath salts (at children’s request), jewellery making, Uno challenge.
Excursion – Rock Climbing @ Bayside Rock $839 Network Dve, Carrum Downs Depart: 8.15am Return: 3.30pmScream and run, movie afternoon with popcorn, moon sand.
Excursion – Movies @ Southland $761239 Nepean Hwy, CheltenhamDepart: 8.15am Return: 3.30pmFrisbee golf, peg segment candle holders, charades with a twist.
Excursion – Trampolining @ Jump Central $76Cochranes Rd, MoorabbinDepart: 10.00am Return: 2.00pmParachute play, toliet tissue outfits.
Excursion – Comedy Festival $89Swanston St & Collins St, MelbourneDepart: 8.15am Return: 3.30pmFruit kebabs, just dance.
Excursion – Comedy Festival $89Swanston St & Collins St, MelbourneDepart: 8.15am Return: 3.30pmHama beads, guess that song, nachos for afternoon tea.
Excursion – Comedy Festival $89Swanston St & Collins St, MelbourneDepart: 8.15am Return: 3.30pmSock puppets & show, wet chalk drawings, GaGa ball.
Happy un-birthdayHelp us celebrate everyone who had a birthday throughout term 1.Bake cupcakes, party games, karaoke, birthday calendars, birthday cards.
Workshop - Duck Cameron – Magic Show $75Popcorn, fruit kebabs, party games, movie afternoon.
Workshop - Duck Cameron – Magic Show $75Ocean jars, heads down/thumbs up.
Workshop - Hot Paint Graffiti $77Disco, cookie decorating, shoe golf, yarn dolls.
School Holiday Program 29 March – 8 AprilSchool Holiday Program 29 March – 8 April
fun for
kids!
Parent information and booking detailsFEES
In-house $59 . 00 Workshop and Excursion fees are dependent on the particular activity and will be advertised for each School Holiday Program period.
Late pick up fees are $18.00 per 15 minutes or part thereof.
Commonwealth Child Care Benefit (CCB) and the Child Care Rebate (CCR) are available to eligible families.
HOW TO BOOK
Enrolments open: 9am Monday 29 Feb Enrolments close: 5pm Friday 18 March
Submit 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: School Holiday Program City of Kingston 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 City of Kingston office or School Holiday Program venue.
ONCE PROCESSED, ALL FEES ARE NON-REFUNDABLE AND NON-TRANSFERABLE. Children will not be accepted into any of the Kingston School Holiday Programs unless a booking has been made with the School Holiday Program Team and all outstanding fees/amounts owed to any of the City of Kingston Children’s Services programs are paid in full.
CHILD CARE BENEFIT / REBATE
Register 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 FUNDING
For a child who requires support for inclusion in a program we ask that forms are submitted by 4 March to allow time to apply for support funding.
Children with additional needs attending Aspendale (Mill Street) are required to submit forms by 5pm Friday 11 March. Due to the strong demand for this program a Priority Allocation Policy is applied to determine the allocation of places.
ABSENCES
If 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.
LATE BOOKINGS
All enrolments received after 5pm Friday 18 March will be classified as a Late Enrolment and will incur an administration fee of $37.
IMPORTANT INFORMATION
• Children must be at the venue by 8.15am 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 & EXCURSIONS
If attending an excursion, participation is compulsory.
Children must be dropped off before 8.15am to ensure bus departure is on time.
WHAT TO BRING
• Lunch, drink, snacks (in line with anaphylaxis and heallthy eating policies)
• Appropriate clothing and footwear for seasonal change and excursions
MEDICATION
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 REQUIREMENT
Children must currently be the ages 5 to 14 to qualify for enrollment in the Kingston School Holiday Program.
BEHAVIOUR MANAGEMENT POLICY
Kingston 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 NEEDS
In 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 POLICY
Parents 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 ACCESS
Kingston’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.
ENQUIRIES
If you have any questions regarding the School Holiday Program please contact Council’s School Holiday Program team:
Julie Hasselby School Holiday Program Coordinator t 9581 4846
or
Kim Chadwick School Holiday Program Administration t 9581 4875
CENTRE CONTACT DETAILS
Aspendale
23 Mill Street / Melways ref 92 H3m 0418 437 832
Bonbeach
Breeze Street / Melways ref 97 D5m 0439 868 716
Dingley
Centre Dandenong Road / Melways ref 88 F6m 0439 868 714
Moorabbin
Worthing Road / Melways ref 77 E7m 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 EnrolmentChild 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 yes no yes no
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
Torres Strait Islander
Aboriginal
Neither
Torres Strait Islander
Aboriginal
Neither
Photographic consent: yes no yes no yes no
I consent to my child being photographed during activites at School Holiday Program. Photographs may be used by the programs for curriculum activities 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 vacation care 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:
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
please insert your name
PAGE 2 - APPLICATION FOR ENROLMENT
form
Only complete this form if your child(ren) are attending the Aspendale School Holiday Program excursions.
Child 1 full name:
Child 2 full name:
Child 3 full name:
EXCURSION PERMISSION - ASPENDALE
Excursion Permission
Aspendale
B
% Risk Assessments have been prepared for all excursions and are available at the programs
% Excursion times are (unless specified otherwise) Tues 8.15am - 3.30pm Thur 8.15am - 3.30pm
% Transport for excursions: Bus and Train. Daily fee covers cost of transport.
Excursions costs as stated (per child). CCB / CCR discounts (if eligible) will be applied by the enrolment office.
Please tick and sign the excursions your child(ren) will be attending.
Livie’s Place Adventure Playground $76
Date: Tuesday 31 March 2016
Destination: Bolard Dr, Lyndhurst
Depart: 10.30am Return: 2.30pm
Transport: Bus
Places available: 45
Educator to Child Ratio: 1 : 15 (Ratios vary depending on support needs of children enrolled and the planned activities)
Child 1
Child 2
Child 3
Parent initial
%
Trampolining @ Jump Central $76
Date: Thursday 7 April 2016
Destination: Cochranes Rd, Moorabbin
Depart: 10.00am Return: 2.00pm
Transport: Bus
Places available: 45
Educator to Child Ratio: 1 : 15 (Ratios vary depending on support needs of children enrolled and the planned activities)
Child 1
Child 2
Child 3
Parent initial
%
Super Zu Play Centre $76
Date: Tuesday 5 April 2016
Destination: 364 Boundary Rd, Dingley Village
Depart: 11.00am Return: 2.30pm
Transport: Bus
Places available: 45
Educator to Child Ratio: 1 : 15 (Ratios vary depending on support needs of children enrolled and the planned activities)
Child 1
Child 2
Child 3
Parent initial
%
29 March - 8 April
Excursions, including regular outings, provide valuable opprortunities for children to explore the wider community and extend the educational program.=
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:
form
EXCURSION PERMISSION - BONBEACH
Excursion Permission
Bonbeach
B
29 March - 8 April
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:
% Risk Assessments have been prepared for all excursions and are available at the programs
% Excursion times are (unless specified otherwise) Tues 8.15am - 3.30pm Wed 8.15am - 3.30pm Thur 8.15am - 3.30pm
% Transport for excursions: Bus and Train. Daily fee covers cost of transport.
Excursions costs as stated (per child). CCB / CCR discounts (if eligible) will be applied by the enrolment office.
Kinglake National Park & Mason Falls $85
Date: Tuesday 5 April 2016
Destination: Mason Falls Rd, Kinglake West
Depart: 8.15am Return: 4.00pm
Transport: Bus
Places available: 60
Educator to Child Ratio: 1 : 15unless otherwise specified
Comedy Festival $89
Date: Thursday 7 April 2016
Destination: Swanston St & Collins St, Melbourne
Depart: 8.15am Return: 3.30pm
Transport: Bus
Places available: 60
Educator to Child Ratio: 1 : 15unless otherwise specified
Skateworld $80
Date: Wednesday 30 March 2016
Destination: 209 Boundary Rd, Mordialloc
Depart: 8.15am Return: 3.30pm
Transport: Bus
Places available: 60
Educator to Child Ratio: 1 : 15unless otherwise specified
Child 1
Child 2
Child 3
Child 1
Child 2
Child 3
Child 1
Child 2
Child 3
Child 1
Child 2
Child 3
Child 1
Child 2
Child 3
Parent initial
Parent initial
Parent initial
Parent initial
Parent initial
%
%
%
%
% Collingwood Children’s Farm
$78
Date: Thursday 31 March 2016
Destination: 18 St. Heliers St, Abbotsford
Depart: 8.30am Return: 3.30pm
Transport: Bus
Places available: 60
Educator to Child Ratio: 1 : 15unless otherwise specified
Bayside Rock – Rock Climbing $83
Date: Wednesday 6 April 2016
Destination: 9 Network Dve, Carrum Downs
Depart: 8.15am Return: 3.30pm
Transport: Bus
Places available: 60
Educator to Child Ratio: 1 : 15unless otherwise specified
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:
Excursions, including regular outings, provide valuable opprortunities for children to explore the wider community and extend the educational program.=
Please tick and sign the excursions your child(ren) will be attending.
form
Excursion Permission
Dingley
B
EXCURSION PERMISSION - DINGLEY
Only complete this form if your child(ren) are attending the Dingley School Holiday Program excursions.
Child 1 full name:
Child 2 full name:
Child 3 full name:
% Risk Assessments have been prepared for all excursions and are available at the programs
% Excursion times are (unless specified otherwise) Tues 8.15am - 3.30pm Wed 8.15am - 3.30pm Thur 8.15am - 3.30pm
% Transport for excursions: Bus and Train. Daily fee covers cost of transport.
Excursions costs as stated (per child). CCB / CCR discounts (if eligible) will be applied by the enrolment office.
Churchill National Park $76
Date: Wednesday 30 March 2016
Destination: Churchill Park Dve, Rowville
Depart: 8.15am Return: 3.30pm
Transport: Bus
Places available: 55
Educator to Child Ratio: 1 : 15 unless otherwise specified
Bicentennial Park & Sausage Sizzle $76
Date: Tuesday 5 April 2016
Destination: Thames Prom. & Scotch Pde, Chelsea
Depart: 8.15am Return: 3.30pm
Transport: Bus
Places available: 55
Educator to Child Ratio: 1 : 15 unless otherwise specified
Comedy Festival $89
Date: Thursday 7 April 2016
Destination: Swanston St & Collins St, Melbourne
Depart: 8.15am Return: 3.30pm
Transport: Bus
Places available: 55
Educator to Child Ratio: 1 : 15unless otherwise specified
X-Treme Air $85
Date: Thursday 31 March 2016
Destination: 1 Fiveways Blvd, Keysborough
Depart: 8.15am Return: 3.30pm
Transport: Bus
Places available: 55
Educator to Child Ratio: 1 : 15 unless otherwise specified
Bayside Rock – Rock Climbing $83
Date: Wednesday 6 April
Destination: 9 Network Dve, Carrum Downs
Depart: 8.15am Return: 3.30pm
Transport: Bus
Places available: 55
Educator to Child Ratio: 1 : 15 unless otherwise specified
29 March - 8 April
Excursions, including regular outings, provide valuable opprortunities for children to explore the wider community and extend the educational program.=
Please tick and sign the excursions your child(ren) will be attending.
Child 1
Child 2
Child 3
Child 1
Child 2
Child 3
Child 1
Child 2
Child 3
Child 1
Child 2
Child 3
Child 1
Child 2
Child 3
Parent initial
Parent initial
Parent initial
Parent initial Parent initial
%
%
%
%%
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:
form
Excursion Permission
Moorabbin
B
EXCURSION PERMISSION - MOORABBIN
Only complete this form if your child(ren) are attending the Moorabbin School Holiday Program excursions.
Child 1 full name:
Child 2 full name:
Child 3 full name:
% Risk Assessments have been prepared for all excursions and are available at the programs
% Excursion times are (unless specified otherwise) Tues 8.15am - 3.30pm Wed 8.15am - 3.30pm Thur 8.15am - 3.30pm
% Transport for excursions: Bus and Train. Daily fee covers cost of transport.
Excursions costs as stated (per child). CCB / CCR discounts (if eligible) will be applied by the enrolment office.
AMF Bowling $76
Date: Wednesday 30 March 2016
Destination: 938 Nepean Hwy, Moorabbin
Depart: 8.15am Return: 3.30pm
Transport: Walking
Places available: 60
Educator to Child Ratio: 1 : 15unless otherwise specified
Camp Manyung $89
Date: Tuesday 5 April 2016
Destination: 35 Sunnyside Rd, Mt. Eliza
Depart: 8.15am Return: 3.30pm
Transport: Bus
Places available: 60
Educator to Child Ratio: 1 : 15unless otherwise specified
Shrine of Remembrance and Botanical Gardens $76
Date: Thursday 31 March 2016
Destination: Birdwood Ave, Melbourne
Depart: 8.15am Return: 3.30pm
Transport: Train, Tram & Walking
Places available: 60
Educator to Child Ratio: 1 : 15unless otherwise specified
Movies – Southland $76
Date: Wednesday 6 April 2016
Destination: 1239 Nepean Hwy, Cheltenham
Depart: 8.15am Return: 3.30pm
Transport: Bus
Places available: 60
Educator to Child Ratio: 1 : 15unless otherwise specified
29 March - 8 April
Excursions, including regular outings, provide valuable opprortunities for children to explore the wider community and extend the educational program.=
Please tick and sign the excursions your child(ren) will be attending.
Child 1
Child 2
Child 3
Child 1
Child 2
Child 3
Child 1
Child 2
Child 3
Child 1
Child 2
Child 3
Parent initial Parent initial
Parent initial Parent initial
% %
% %
Comedy Festival $89
Date: Thursday 7 April 2016
Destination: Swanston St & Collins St, Melbourne
Depart: 8.15am Return: 3.30pm
Transport: Bus
Places available: 60
Educator to Child Ratio: 1 : 15unless otherwise specified
Child 1
Child 2
Child 3
Parent initial
%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:
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 sessionsMARCH APRIL
TOTAL DAYS
MON 28
TUE 29
WED 30
THU 31
FRI 1
MON 4
TUE 5
WED 6
THU 7
FRI 8
Mill St Aspendale Yarrabah SchoolPUBLIC
HOLIDAY
Bonbeach Primary SchoolPUBLIC
HOLIDAY
Dingley Primary SchoolPUBLIC
HOLIDAY
Moorabbin Primary SchoolPUBLIC
HOLIDAY
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
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.
Parent/guardian signature Date
BOOKING & PAYMENT - MARCH/APRIL 2016
C Booking + PaymentSchool Holiday Program: 29 March - 8 April 2016
Office use only
Child’s full name: Parent’s name:
PROGRAM:
Mill St Aspendale
Bonbeach
Dingley
Moorabbin
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