Holiday Program - kingston.vic.gov.au · School Holiday Program) must fill out Form A) 4. Fill out B ... red letter, cooking: warm winter soup, ... Fruit salad, hama beads. Excursion

Bonbeach, Dingley, Moorabbin 7am to 6pm Mill St 7.30am to 6pm

% Great for working parents

Join the epic fun these school holidays!

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 (New families (and if you did not enrol in the April 2017 School Holiday Program) must fill out Form A)

4. Fill out Bform

Excursion Permission5. Fill out C

form

Booking + Payment

~ everyone is welcome ~

Holiday Program

locationsMill St Aspendale Yarrabah School

Bonbeach Primary School

Dingley Primary School

Moorabbin Primary School

key datesEnrolments open: 9am Monday 5 June

Enrolments close: 5pm Friday 23 June

Mill St Aspendale enrolments close 5pm Wednesday 14 June

note

3 July – 14 July 2017Holiday Program

download forms online!

save 50%or more!

Moorabbin Offer Activities

for 10-14 year olds

Activities are summary only and are subject to change Excursion days: children must be at venues by 8.45am sharp.

please note

Children MUST wear a hat and sun

smart clothing to play outdoors

BonbeachBonbeach Primary Breeze Street MELWAYS: 97 D5

Yarrabah School 23 Mill St MELWAYS: 92 H3

Mill St Aspendale

Activities are summary only and are subject to change Excursion days: children must be at venues by 8.45am sharp.please note

MON 3 JUL

TUE 4 JUL

THUR 6 JUL

WED 5 JUL

FRI 7 JUL

MON 10 JUL

TUE 11 JUL

WED 12 JUL

THUR 13 JUL

FRI 14 JUL

0418 437 832 0439 868 716

School Holiday Program 3 July - 14 JulySchool Holiday Program 3 July – 14 Julyplaces

available

45

places

available

60All Bonbeach

parents are required to sign the excursion

permission form to have regular access to the

playground. In House Day - Construction Day $62.90

Lego, blocks, cardboard buildings, blanket cubbies.

In House Day $62.90Program rules, clay modeling, dream catchers, make Honey Joys, Scooby Doo cartoon afternoon, scavenger hunt.

In House Day $62.90Program rules, red letters, picture lotto, who am I?, ABC basketball, circle games (ring a sing a wise-chicken and grasshoppers).

In House Day $62.90Program rules, slime making, jewellery making, red letter, cooking: warm winter soup, playground obstacle challenge.

Workshop – Incursions $78.90Rhythm Village Workshop is coming for some dance and music. This is a past favourite!

Excursion – Coal Creek $91.0012 Silkstone Rd, KorumburraDepart: 9.00am Return: 4.00pmFruit salad, hama beads.

Excursion – Xtreme Air $85.001 Fiveways Boulevard, KeysboroughDepart: 9.00am Return: 1.00pmAnimal jumping, snap (finding your partners).

Excursion – Healesville Sanctuary $86.00Badger Creek Rd, HealesvilleDepart: 9.00am Return: 4.00pmMaking chatterboxes.

Excursion – AMF Bowling $79.90938 Nepean Hwy, MoorabbinDepart: 9.30am Return: 3.30pm Bring some socks and put on some bowling shoes!

Excursion – Ice Skating $91.00105 Pearl River Rd, DocklandsDepart: 9.00am Return: 1.00pmSlime making, scream run, parachute games.

Workshop – Science Twists $78.00Jumping beans, Duck Duck Goose, making healthy muffins.

Excursion – Super Zu $85.00362-364 Boundary Rd, Dingley VillageDepart: 9.00am Return: 1.00pm Watercolour portraits, kick ball, Heads Down Thumbs Up.

In House Day – Playdoh Play Day $62.90We are making our own playdoh for a creative day of fun!

Excursion – Moorabbin Indoor Sports Centre $92.002/117 Cochranes Rd, MoorabbinDepart: 9.00am Return: 4.00pmFrozen show, coloured corners.

Excursion – Sky Deck & Explore the City $90.007 Riverside Quay, SouthbankDepart: 9.00am Return: 4.00pmZoo movements, bring the book to life.

Excursion – Sky High (Dandenong) $87.0026 Observatory Rd, Mount DandenongDepart: 9.00am Return: 4.00pmMake your own pom-pom, Pacman.

Excursion – Kid Factory Indoor Play Centre $79.90300 Boundary Rd, DingleyDepart: 9.30am Return: 3.30pm Be ready to have heaps of fun on the slides, trampoline park, inflatable obstacle course and sports court.

Workshop - Science Twists $72.00Wool friendship bands, cup cake or cake making.

Workshop - Cartoonist $79.00Ball handling, big chief, Alibaba and the Forty Thieves.

Workshop - Fitnessworx – Amazing Race $76.00Marble Painting, octopus, musical games.

Excursion (10-14 year olds) – Waves – $5 extra111 Chesterville Rd, HighettDepart: 12.00pm Return: 4.00pm

Excursion – Eastern Gymnastics $79.9021 Clarice Road, Box HillDepart: 9.30am Return: 3.30pm This has been a HUGE hit so we are going back for more fun!

In House Day $62.90Make fairy houses, chocolate balls, jewellery making, arts and craft with mask, dodge ball, octopus.

In House Day $62.90

Program rules, parachute games, hama bead creations, fluffing slime, beach ball carry, making Honey Joys, fruit salad.

In House Day $62.90

Tabloid sports, nature collage, paper hockey, cooking: damper, smoosh painting, knockout challenge.

In House Day – Dress up Day $62.90How would you like to dress up today? As a sports person? As a clown? As an animal? You choose!

Excursion – Sky Deck Explore the City $88.007 Riverside Quay, SouthbankDepart: 9.00am Return: 4.00pmDead fish, Ship Shark Shore.

Excursion – Village Movies Southland $83.001239 Nepean Hwy, CheltenhamDepart: 9.00am Return: 1.00pmCake splat, Balloon Keepie Uppie.

Excursion – Sky Deck & Explore the City $85.007 Riverside Quay, SouthbankDepart: 9.00am Return: 4.00pmSleeping lions, wink detective.

Excursion – Dingley Village Adventure Indoor Mini-Golf $79.90Cnr Centre Dandenong and Lower Dandenong Rd, Dingley VillageDepart: 9.30am Return: 3.30pm Please ensure warm clothing is worn.

Excursion – Village Movies Southland $83.001239 Nepean Hwy, CheltenhamDepart: 12.00pm Return: 4.00pmCreative painting, scarecrow tiggy, Bonbeach’s Got Talent.

Workshop – Ready Set Play Kids Crazy Circus $77.00Coloured corners, all around the world, making Jam Drop biscuits.

Excursion (10-14 year olds) – Youth Services 5 Riverend Road, BangholmeDepart: 9.00am

Excursion (all ages) – Village Movies Southland $83.001239 Nepean Hwy, CheltenhamDepart: 12.00pm Return: 4.00pmGang-up tiggy, UNO challenge, playdoh making.

Workshop – Incursions – Wild Action $78.90Come and see the animals from Wild Action – Endangered Species.

Excursion – Melbourne Zoo $90.00Elliot Ave, ParkvilleDepart: 9.00am Return: 4.00pmScratch art, celebrity heads.

Excursion – Werribee Open Range Zoo $91.00K Road, Werribee SouthDepart: 9.00am Return: 4.00pmJumping taxer challenge, silent ball.

Excursion – Moorabbin Indoor Sports $88.003 Haymer Ct, BraesideDepart: 9.00am Return: 4.00pmShip shark shore, finger knitting.

In House Day – Movies and Popcorn $62.90Bring your favourite movie. Join us for popcorn and movies.

Workshop – Wild Action $77.00Movie afternoon with popcorn, sewing, chalk drawings.

Workshop – Silent Disco $79.00Don’t fall down (twister), wink murder, movie afternoon (popcorn), baked potatoes lunch.

Workshop - Science Twists $72.00Scratch art, number basketball, movie and popcorn afternoon.

Excursion (10-14 year olds) – Bowling in afternoon – $6 extra938 Nepean Hwy, Moorabbin Depart: 1.00pm Return: 3.00pm

DingleyDingley Primary Centre Dandenong Rd MELWAYS: 88 F6

Activities are summary only and are subject to change Excursion days: children must be at venues by 8.45am sharp.

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

MON 3 JUL

TUE 4 JUL

THUR 6 JUL

WED 5 JUL

FRI 7 JUL

MON 10 JUL

TUE 11 JUL

WED 12 JUL

THUR 13 JUL

FRI 14 JUL

MoorabbinMoorabbin Primary Worthing Road MELWAYS: 77 E7

0439 868 714 0439 868 713

School Holiday Program 3 July - 14 JulySchool Holiday Program 3 July – 14 July

fun for

kids!

Extra Fun Activities for

10-14 years olds

places

available

55

places

available

60

In House Day - Construction Day $62.90Lego, blocks, cardboard buildings, blanket cubbies.

In House Day $62.90Program rules, clay modeling, dream catchers, make Honey Joys, Scooby Doo cartoon afternoon, scavenger hunt.

In House Day $62.90Program rules, red letters, picture lotto, who am I?, ABC basketball, circle games (ring a sing a wise-chicken and grasshoppers).

In House Day $62.90Program rules, slime making, jewellery making, red letter, cooking: warm winter soup, playground obstacle challenge.

Workshop – Incursions $78.90Rhythm Village Workshop is coming for some dance and music. This is a past favourite!

Excursion – Coal Creek $91.0012 Silkstone Rd, KorumburraDepart: 9.00am Return: 4.00pmFruit salad, hama beads.

Excursion – Xtreme Air $85.001 Fiveways Boulevard, KeysboroughDepart: 9.00am Return: 1.00pmAnimal jumping, snap (finding your partners).

Excursion – Healesville Sanctuary $86.00Badger Creek Rd, HealesvilleDepart: 9.00am Return: 4.00pmMaking chatterboxes.

Excursion – AMF Bowling $79.90938 Nepean Hwy, MoorabbinDepart: 9.30am Return: 3.30pm Bring some socks and put on some bowling shoes!

Excursion – Ice Skating $91.00105 Pearl River Rd, DocklandsDepart: 9.00am Return: 1.00pmSlime making, scream run, parachute games.

Workshop – Science Twists $78.00Jumping beans, Duck Duck Goose, making healthy muffins.

Excursion – Super Zu $85.00362-364 Boundary Rd, Dingley VillageDepart: 9.00am Return: 1.00pm Watercolour portraits, kick ball, Heads Down Thumbs Up.

In House Day – Playdoh Play Day $62.90We are making our own playdoh for a creative day of fun!

Excursion – Moorabbin Indoor Sports Centre $92.002/117 Cochranes Rd, MoorabbinDepart: 9.00am Return: 4.00pmFrozen show, coloured corners.

Excursion – Sky Deck & Explore the City $90.007 Riverside Quay, SouthbankDepart: 9.00am Return: 4.00pmZoo movements, bring the book to life.

Excursion – Sky High (Dandenong) $87.0026 Observatory Rd, Mount DandenongDepart: 9.00am Return: 4.00pmMake your own pom-pom, Pacman.

Excursion – Kid Factory Indoor Play Centre $79.90300 Boundary Rd, DingleyDepart: 9.30am Return: 3.30pm Be ready to have heaps of fun on the slides, trampoline park, inflatable obstacle course and sports court.

Workshop - Science Twists $72.00Wool friendship bands, cup cake or cake making.

Workshop - Cartoonist $79.00Ball handling, big chief, Alibaba and the Forty Thieves.

Workshop - Fitnessworx – Amazing Race $76.00Marble Painting, octopus, musical games.

Excursion (10-14 year olds) – Waves – $5 extra111 Chesterville Rd, HighettDepart: 12.00pm Return: 4.00pm

Excursion – Eastern Gymnastics $79.9021 Clarice Road, Box HillDepart: 9.30am Return: 3.30pm This has been a HUGE hit so we are going back for more fun!

In House Day $62.90Make fairy houses, chocolate balls, jewellery making, arts and craft with mask, dodge ball, octopus.

In House Day $62.90

Program rules, parachute games, hama bead creations, fluffing slime, beach ball carry, making Honey Joys, fruit salad.

In House Day $62.90

Tabloid sports, nature collage, paper hockey, cooking: damper, smoosh painting, knockout challenge.

In House Day – Dress up Day $62.90How would you like to dress up today? As a sports person? As a clown? As an animal? You choose!

Excursion – Sky Deck Explore the City $88.007 Riverside Quay, SouthbankDepart: 9.00am Return: 4.00pmDead fish, Ship Shark Shore.

Excursion – Village Movies Southland $83.001239 Nepean Hwy, CheltenhamDepart: 9.00am Return: 1.00pmCake splat, Balloon Keepie Uppie.

Excursion – Sky Deck & Explore the City $85.007 Riverside Quay, SouthbankDepart: 9.00am Return: 4.00pmSleeping lions, wink detective.

Excursion – Dingley Village Adventure Indoor Mini-Golf $79.90Cnr Centre Dandenong and Lower Dandenong Rd, Dingley VillageDepart: 9.30am Return: 3.30pm Please ensure warm clothing is worn.

Excursion – Village Movies Southland $83.001239 Nepean Hwy, CheltenhamDepart: 12.00pm Return: 4.00pmCreative painting, scarecrow tiggy, Bonbeach’s Got Talent.

Workshop – Ready Set Play Kids Crazy Circus $77.00Coloured corners, all around the world, making Jam Drop biscuits.

Excursion (10-14 year olds) – Youth Services 5 Riverend Road, BangholmeDepart: 9.00am

Excursion (all ages) – Village Movies Southland $83.001239 Nepean Hwy, CheltenhamDepart: 12.00pm Return: 4.00pmGang-up tiggy, UNO challenge, playdoh making.

Workshop – Incursions – Wild Action $78.90Come and see the animals from Wild Action – Endangered Species.

Excursion – Melbourne Zoo $90.00Elliot Ave, ParkvilleDepart: 9.00am Return: 4.00pmScratch art, celebrity heads.

Excursion – Werribee Open Range Zoo $91.00K Road, Werribee SouthDepart: 9.00am Return: 4.00pmJumping taxer challenge, silent ball.

Excursion – Moorabbin Indoor Sports $88.003 Haymer Ct, BraesideDepart: 9.00am Return: 4.00pmShip shark shore, finger knitting.

In House Day – Movies and Popcorn $62.90Bring your favourite movie. Join us for popcorn and movies.

Workshop – Wild Action $77.00Movie afternoon with popcorn, sewing, chalk drawings.

Workshop – Silent Disco $79.00Don’t fall down (twister), wink murder, movie afternoon (popcorn), baked potatoes lunch.

Workshop - Science Twists $72.00Scratch art, number basketball, movie and popcorn afternoon.

Excursion (10-14 year olds) – Bowling in afternoon – $6 extra938 Nepean Hwy, Moorabbin Depart: 1.00pm Return: 3.00pm

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.

LATE BOOKINGSAll enrolments received after 5pm Friday 23 June 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.

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

HOW TO BOOKEnrolments open: 9am Monday 5 June Enrolments close: 5pm Friday 23 June

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 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 / 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 9 June to allow time to apply for support funding.

Children with additional needs attending Aspendale (Mill Street) are required to submit forms by 5pm Wednesday 14 June. 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.

IMPORTANT INFORMATION

• Children must be at the venue by 8.45am 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 8.45am to ensure bus departure is on time.

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

MEDICATION

Children 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 REQUIREMENT

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

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 4852

CENTRE CONTACT DETAILS (DURING HOLIDAY PERIOD ONLY)

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 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


Aboriginal

Neither


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

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:

Child 4 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 8.45am - 4.00pm Thur 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.

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

Dingley Village Adventure Indoor Mini-Golf $77.80

Date: Wednesday 12 July 2017

Destination: Cnr Centre Dandenong and Lower Dandenong Rd, Dingley Village

Depart: 9.30am Return: 3.30pm

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

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

AMF Bowling $79.90


Destination: 938 Nepean Hwy, Moorabbin


Transport: Bus



Kid Factory Indoor Play Centre $79.90

Date: Friday 7 July 2017

Destination: 300 Boundary Rd, Dingley


Transport: Bus



Eastern Gymnastics $79.90

Date: Friday 7 July 2017

Destination: 21 Clarice Rd, Box Hill


Transport: Bus



3 July - 14 July 2017

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:

Parent initial

Parent initial

Parent initial

Parent initial

%

%

%

%

form


Dingley

B

EXCURSION PERMISSION - DINGLEY

3 July - 14 July 2017

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:

Child 4 full name:





Signed: Date:


% Excursion times are (unless specified otherwise) Tues 8.45am - 1.00pm Thur 8.45am - 4.00pm



Village Movies Southland $83.00

Date: Tuesday 11 July 2017

Destination: 1239 Nepean Hwy, Cheltenham


Transport: Bus


Educator to Child Ratio: 1 : 15unless otherwise specified

Werribee Open Range Zoo $91.00

Date: Thursday 13 July 2017

Destination: K Road, Werribee South


Transport: Bus



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

Xtreme Air $85.00


Destination: 1 Fiveways Bld, Keysborough


Transport: Bus



Sky Deck & Explore the City $90.00


Destination: 7 Riverside Quay, Southbank


Transport: Bus



Parent initial

Parent initial

Parent initial

Parent initial

%

%

%

%

form


Moorabbin

B

3 July - 14 July 2017

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:

Child 4 full name:


% Excursion times are (unless specified otherwise) Tues 8.45am - 4.00pm Wed 8.45am - 3.30pm Thur 8.45am - 4.00pm



Sky Deck & Explore the City $85.00Date: Tuesday 11 July 2017Destination: 7 Riverside Quay, SouthbankDepart: 9.00am Return: 4.00pmTransport: BusPlaces available: 60Educator to Child Ratio: 1 : 15unless otherwise specified

Healesville Sanctuary $86.00

Date: Tuesday 4 July 2017Destination: Badger Creek Rd, HealesvilleDepart: 9.00am Return: 4.00pmTransport: BusPlaces available: 60Educator to Child Ratio: 1 : 15unless otherwise specified

Super Zu $85.00

Date: Wednesday 5 July 2017Destination: 362-364 Boundary Rd, Dingley VillageDepart: 9.00am Return: 4.00pmTransport: BusPlaces available: 60Educator to Child Ratio: 1 : 15unless otherwise specified

Sky High (Dandenong) $87.00

Date: Thursday 6 July 2017Destination: 26 Observatory Rd, Mount DandenongDepart: 9.00am Return: 4.00pmTransport: BusPlaces available: 60Educator to Child Ratio: 1 : 15unless otherwise specified

Waves $5.00

Date: Friday 7 July 2017Destination: 111 Chesterville Rd, HighettDepart: 12.00pm Return: 4.00pmTransport: BusPlaces available: 60Educator to Child Ratio: 1 : 15unless otherwise specified



%

%

%

%

%

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

All children

All children

All children

All children

10-14 year olds

only

Youth Services Date: Wednesday 12 July 2017Destination: 5 Riverend Rd, BangholmeDepart: 9.00am Transport: BusPlaces available: 60Educator to Child Ratio: 1 : 15unless otherwise specified

+ Village Movies Southland $83.00

Destination: 1239 Nepean Hwy, CheltenhamDepart: 12.00pm Return: 4.00pmTransport: BusPlaces available: 60Educator to Child Ratio: 1 : 15unless otherwise specified

%

%

Parent initial

Parent initial

Child 1

Child 2

Child 3

Child 4

Child 1

Child 2

Child 3

Child 4

10-14 year olds

only

All children

EXCURSION PERMISSION - MOORABBIN - PAGE 1

Continued overleaf

form


Moorabbin

B

EXCURSION PERMISSION - MOORABBIN - PAGE 2

3 July - 14 July 2017


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:

Moorabbin Indoor Sports $88.00

Date: Thursday 13 July 2017Destination: 2/17 Cochranes Rd, MoorabbinDepart: 9.00am Return: 4.00pmTransport: BusPlaces available: 60Educator to Child Ratio: 1 : 15unless otherwise specified

Bowling in afternoon $6.00

Date: Friday 14 April 2017Destination: 938 Nepean Hwy, MoorabbinDepart: 1.00pm Return: 3.00pmTransport: Bus/walking depending on weatherPlaces available: 60Educator to Child Ratio: 1 : 15unless otherwise specified

% %

Parent initial Parent initial

Child 1

Child 2

Child 3

Child 4

Child 1

Child 2

Child 3

Child 4

All children

10-14 year olds

only

form

EXCURSION PERMISSION - BONBEACH - PAGE 1


Bonbeach

B

3 July - 14 July 2017

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:

Continued overleaf

All parents are required to sign this box for children to have regular access to playground. If not signed your child will not be able to go to the school play ground.

Regular Outing to school play groundDate: Operational Period

Time: Regular Basis

Transport: Walking

Places Available: 60

Educator to child ratio: 1:15

%


Please tick and sign.

Parent initial


% Excursion times are (unless specified otherwise) Tues 8.45am - 4.00pm Wed 8.45am - 3.30pm Thur 8.45am - 4.00pm



Child 1

Child 2

Child 3

Child 4

Sky Deck Explore the City $88.00

Date: Tuesday 11 June 2017

Destination: 7 Riverside Quay, Southbank


Transport: Bus



Coal Creek $91.00


Destination: 12 Silkstone Rd, Korumburra


Transport: BusPlaces available: 60Educator to Child Ratio: 1 : 15unless otherwise specified

Ice Skating $91.00


Destination: 105 Pearl River Rd, Docklands


Transport: Bus



Moorabbin Indoor Sports Centre $92.00


Destination: 2/117 Cochranes Rd, Moorabbin


Transport: Bus



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%

%

%

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

form


Bonbeach

B

3 July - 14 July 2017



Signed: Date:

EXCURSION PERMISSION - BONBEACH - PAGE 2

Please tick and sign.

Melbourne Zoo $90.00


Destination: Elliot Ave, Parkdale


Transport: Bus



%

Parent initial

Child 1

Child 2

Child 3

Child 4

Village Movies Southland $83.00


Destination: 1239 Nepean Hwy, Cheltenham


Transport: Bus



%

Parent initial

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

JULY

TOTAL DAYS

MON 3

TUES4

WED 5

THUR 6

FRI 7

MON 10

TUES 11

WED 12

THUR 13

FRI 14

Mill St Aspendale Yarrabah School

Bonbeach Primary School

Dingley Primary School

Moorabbin 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 - JULY 2017

C Booking + PaymentSchool Holiday Program: 3 July - 14 July 2017

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

Documents

Holiday Program - kingston.vic.gov.au · School Holiday Program) must fill out Form A) 4. Fill out B ... red letter, cooking: warm winter soup, ... Fruit salad, hama beads. Excursion