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QUEANBEYAN
Program is held at Kool Kids Bungendore
In the School Grounds of Bungendore Primary School
Gibraltar Street Bungendore NSW 2620
Phone: 02 6297 2334 • Fax 02 6297 6652 •
Email: [email protected]
We're open from 8.00 a.m. - 6.00 p.m.Late Fees will apply for late pick up.
• Bookings are essential and cannot be accepted unless accompanied by the application form.
• Cost is $46 per day. (CCS applies)
• Excursion fees are an additional cost (NO CCS) - Payment must be in advance.
• NO hot food to be brought into centre - Lunch orders are available.
• All children to be at the centre by 9.00 a.m. on excursion days
• YMCA is a Nut Free Zone
• NO Electronic Games to be brought to the centre
PLEASE NOTE: Please do not turn up on the day and expect to be able to book in
as we have very strict staff to children ratios.Contact must be made with the Queanbeyan YMCA Office.
School Holiday FunSchool Holiday FunJanuary 14th through to January 29th
Things to rememberThings to remember
B U N G E N D O R E
QUEANBEYAN
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School Holiday Fun • Booking Form School Holiday Fun • Booking Form
REDUCE, REUSE AND RECYCLING
Recycling is the process of converting waste materials into new materials and objects, learn about this and the
importance of nature as we participate in a range of activities today.Educator to child ratio 1:15. Anticipated number of children: 65. Anticipated number of staff: 5
ANIMAL PLANET
Who doesn’t love animals? Today all activities will revolve around our furry friends. We will be creating a Animal
pencil holder and a range of other animals. Come along to see what you can create. Educator to child ratio 1:15. Anticipated number of children: 65. Anticipated number of staff: 5
KIDS IN THE KITCHEN
Step inside the YMCA kitchen armed and equipped with an apron and chef's hat as you cook! We will be doing
a range of cooking activities as well as other craft activities. Educator to child ratio 1:15. Anticipated number of children: 65. Anticipated number of staff: 5
ART ATTACK
Let your creative side shine. We will be participating in a range of different art activities today at YMCA.
Come along and make some fantastic creations in a range of different mediums.Educator to child ratio 1:15. Anticipated number of children: 65. Anticipated number of staff: 5
WINNIE THE POOH DAY
National Winnie the Pooh Day is observed annually on January 18th. Author A.A. Milne brought the adorable,
honey-loving bear to life in his stories, our day will revolve around activities for Winnie the Poohs birthday.Educator to child ratio 1:15. Anticipated number of children: 65. Anticipated number of staff: 5
B U N G E N D O R E
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QUEANBEYAN
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Public Holiday
OUT OF SPACE
5, 4, 3, 2, 1, Blast OFF!!! Let YMCA take you to outer space to see what we can discover. We will be
participating in activities with rockets, lava lamps and much more ! Educator to child ratio 1:15. Anticipated number of children: 65. Anticipated number of staff: 5
ALL THINGS MINION
Minions, Minions everywhere. Who does not love the funny antics they get up to. Today at YMCA it will be
Minion fever with minion marshmallow, minion pegs and more Educator to child ratio 1:15. Anticipated number of children: 65. Anticipated number of staff: 5
UNDER THE SEA
Just look at the world around you, right here on the ocean floor. Such wonderful things surround you,
what more is you looking for? Come to YMCA today to explore this wonderland.Educator to child ratio 1:15. Anticipated number of children: 65. Anticipated number of staff: 5
MYTHICAL CREATURES
Cultures around the world have their own disturbing mythical creatures populating their traditional tales. None
of these beasts are real, come along today to learn and create some of these unusual creatures.Educator to child ratio 1:15. Anticipated number of children: 65. Anticipated number of staff: 5
AUSTRALIA DAY
Aussie Aussie Aussie Oi Oi Oi come along today to participate in everything Australian. We will be cooking
and participating in other crafts including Flag making and more.Educator to child ratio 1:15. Anticipated number of children: 65. Anticipated number of staff: 5
PUPIL FREE DAY
On the countdown and we are back at school tomorrow! Enjoy your final day of school holidays at the YMCA.
We will be doing plenty of activities to keep you entertained.Educator to child ratio 1:15. Anticipated number of children: 65. Anticipated number of staff: 5
School Holiday Fun • Booking Form School Holiday Fun • Booking Form B U N G E N D O R E
How to Book • Complete a current Vacation Care Booking Form, available from our office, OOSHC sites or website: www.queanbeyan.ymca.org.au
• Bring completed form to the Queanbeyan YMCA office or Email:
• Please note: Please do not turn up on the day and expect to be booked in as we have a strict staff to children ratio.
Immunisation:All children will be accepted into the Vacation Care Program; however children who have not been immunised will be excluded from the program in the event of an outbreak of an infectious disease. Families must provide evidence of immunisation or have an exemption to be eligible for the CCB allowance.
Please indicate immunisation status in the space provided on the Enrolment Form.
Any changes to the program will be informed via direct contact from the centre. Excursion risk assessments are available for review at the centre. Children attending all YMCA Vacation Care programs must wear a broad brimmed hat and enclosed shoes.
broad brimmed Children should wear t-shirts with sleeves.
Breach of YMCA Policies and Procedures YMCA Policies and Procedures are established for the safety and enjoyment of all children. Breaches of these policies and procedures may result in exclusions from activities or the program following consultation between parents/families and YMCA management.
Fees:The daily cost is $46.00 per child from 8am - 6pm. Excursions are an additional fee from $5 - $30. Payments can be made by Cash / Cheque / Eftpos at the office or by Direct Credit to the Account. Excursions are to be paid upon Enrolment.
Late Fees: To cover staff requirements a fee of $2 per minute will be charged to your account after 6.00pm.
Debt Collector:I understand that I will incur a commission fee if my account is forwarded to a debt collector
Refunds:Refunds or credits are not given unless a program is cancelled by the YMCA of Queanbeyan.
Excursions:To ensure the program runs according to schedule, you are required to arrive at the centre by 9.00am. All information for an excursion is found on the excursion page and this page of the documents. The anticipated number of children on excursions are 50 unless stated otherwise. I understand that due care will be taken by YMCA employees and that the employee cannot be held responsible for any damage or injury occurring during travel. There are no refunds if you no longer need care on a day that you have booked your child/ren in if they are booked in for an excursion.
Arrival and Departures:At the commencement of each morning, you are required to sign the child/ren in on KIOSK. The child/ren must also be signed out and will not be allowed to leave the centre with any person other than those nominated on this booking form. Written notification is required to allow another person to collect the child/ren. Identification will be required.
What to bring: Please pack the child/ren a healthy morning tea, healthy lunch, healthy afternoon tea, a drink bottle, a hat, a jumper and appropriate shoes for daily activities. Please do not bring hot food or food that contains nuts.
Transport:The child/ren will be transported by Queanbeyan YMCA’s bus. This bus does not contain seatbelts.
Staff:Information on which supervisors are working daily and attending excursions is displayed in our centre. Our ratios for excursions will be in accordance with National Education and Care Regulations
Emergency: I authorise the YMCA staff to obtain, at my cost, medical or ambulance assistance in the case of an accident or emergency. I hereby agree that the YMCA staff shall be released from and shall not incur any responsibility or liability whatsoever for any accident or injury sustained by any persons included on this application or for any damage to or loss of property.
QUEANBEYAN
School Holiday Fun • Booking Form School Holiday Fun • Booking Form B U N G E N D O R E
QUEANBEYAN
School Holiday Fun • Excursions School Holiday Fun • ExcursionsNO Lunch Orders on Excursion Day
Movies - Wreck it Ralph - Ralph Breaks the Internet- Cost: $20
Where: Tuggeranong Hyperdome, 152 Anketell St, Greenway ACT 2900
Travel: Queanbeyan YMCA Bus • Staff: 1 Supervisor and 3 Childcare staff.
Limit of Children: Maximum 30 Children • No Lunch Orders
Bungendore Swimming Pool - Cost: $10
Where: Majara St, Bungendore NSW 2621 • Travel: Walking
Staff: 1 Supervisor and 5 Childcare staff.
Limit of Children: Maximum 30 Children • Please complete authority form • No Lunch Orders
In House - Bricks for Kids - Cost: $20
Where: Bungendore Kool Kids Gibraltar Street Bungendore NSW 2621 • Travel: Nil
Staff: 1 Supervisor and 2 Childcare staff.
Limit of Children: Maximum 30 Children
In House Activity - Cooking - Cost: $12
Where: Bungendore Kool Kids Gibraltar Street Bungendore NSW 2621 • Travel: Nil
Staff: 1 Supervisor and 2 Childcare staff.
Limit of Children: Maximum 20 Children
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B U N G E N D O R E
Excursion - Lawn Bowling & BBQ
Where: 20 Turallo Terrace, Bungendore NSW 2621 • Travel: Walking
Staff: 1 Supervisor and 3 Childcare staff.
Limit of Children: Maximum 30 Children • Lunch Included
- Cost: $8
Excursion - One 2 Step Dance - Cost: $10
Where: 2 Gibraltar St, Bungendore NSW 2621 Travel: Walking
Staff: 1 Supervisor and 3 Childcare staff.
Limit of Children: Maximum 30 Children
In House - Candle Making - Cost: $11
Where: Bungendore Kool Kids Gibraltar Street Bungendore NSW 2621 • Travel: Nil
TStaff: 1 Supervisor and 2 Childcare staff.
Limit of Children: Maximum 30 Children
Paddle Hub - 8 years and over - Cost: $30
Where: Canberra YMCA Alexandrina Drive, Yarralumla ACT 2600 • Travel: Queanbeyan YMCA Bus
Staff: 1 Supervisor and 5 Childcare staff. Limit of Children: Maximum 30 Children •
Please complete authority form • https://waiver.smartwaiver.com/v/ymcacanpaddlehub/.
No Lunch Orders
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All meal deals come with either Apple Juice, Orange Juice or bottled water for $5.00
Please put Money in a brown paper bag and place in the container on the counter each day.
PLEASE NO MEAL DEALS ON EXCURSION DAYS
If you would like your child to have a meal deal can you please put the money in a brown paper bag
and put it in the basket at the sign in counter on the day.
Sausage Roll with tomato or BBQ sauce
or
Ham / chicken salad roll
Nachos
or
Ham / chicken salad roll
Meat Pie with tomato or BBQ Sauce
or
Ham / chicken salad roll
Toasted Ham, Cheese and Tomato sandwich.
or
Ham / chicken salad roll
Hotdogs and cheese with tomato or BBQ sauce
or
Ham / chicken salad roll
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School Holiday Fun • Meal DealsSchool Holiday Fun • Meal DealsB U N G E N D O R E
QUEANBEYAN
Children’s Information
Child A
First Name
(English Name:)
Surname:
Date of Birth: / /
Age:
Gender: Male Female
Child’s CRN Number:
Family Doctor:
Phone:
Is your child fully immunised? Yes No
MEDICARE No:
Children’s Information
Child B
First Name
(English Name:)
Surname:
Date of Birth: / /
Age:
Gender: Male Female
Child’s CRN Number:
Family Doctor:
Phone:
Is your child fully immunised? Yes No
MEDICARE No:
Children’s Information
Child C
First Name
(English Name:)
Surname:
Date of Birth: / /
Age:
Gender: Male Female
Child’s CRN Number:
Family Doctor:
Phone:
Is your child fully immunised? Yes No
MEDICARE No:
Children’s Information
Child D
First Name
(English Name:)
Surname:
Date of Birth: / /
Age:
Gender: Male Female
Child’s CRN Number:
Family Doctor:
Phone:
Is your child fully immunised? Yes No
MEDICARE No:
School Holiday Fun • Booking Form School Holiday Fun • Booking Form B U N G E N D O R E
please specify please specify
Your Permission
Risk Assessments
I have read the Risk Assessments for the activities my child/ren are attending (available at the centre) and agree to my child/ren
attending these days.
I (the undersigned) have read all enrolment 'Important Information' (located on the 'How to Book'
page) and agree to abide by them. I have read the Activities Information page which outlines information relevant to the Vacation
Care program activities. I give permission for my child/ren to attend YMCA Vacation Care and will not hold the YMCA, its staff or
volunteers responsible for damages and/or loss of property and/or accident.
Signature: Date: / /
Parent / Guardian Contact Information
Parent / Guardian B
First Name:
(English Name:)
Surname:
Relationship: Mother Father Other
Mobile:
Home: Work Phone:
Date of Birth: / /
Gender: Male Female
Centrelink CRN Number:
Name:
Relationship:
Mobile:
Address
Postcode:
Email:
Parent / Guardian Contact Information
Parent / Guardian A
First Name:
(English Name:)
Surname:
Relationship: Mother Father Other
Mobile:
Home: Work Phone:
Date of Birth: / /
Gender: Male Female
Centrelink CRN Number:
Name:
Relationship:
Mobile:
Address
Postcode:
Email:
EMERGENCY CONTACTS
School Holiday Fun • Booking Form School Holiday Fun • Booking Form B U N G E N D O R E
Medical and Behaviour Information
Do any of the children have any medical issues that the YMCA needs to be aware of? If yes please provide details
YES NO (if yes please indicate which child/ren)
Child A Child B Child C Child D
Please specify/detail the medical/behaviour diagnosis, how it affects the child/ren and what management plans are in place including medication The medication must be clearly labelled with a pharmacy label, child's name, type of medication and required dosage.
These can be obtain from the Queanbeyan YMCA Office.
Authorisations
I give permission for my child to go on excursions which involve travel by bus? Yes No
I give permission for my child to walk over to Mick Sherd Oval, Bungendore Yes No
I give permission to YMCA staff to apply sunscreen 50+ to my child? Yes No
I give permission to the YMCA to use photographs of my child for promotional use
• Providing visual documentation for families to see what your child does through the day Yes No
•To assist with evaluations of the program Yes No
•To use as part of promotion and publicity for the centre Yes No
I give permission for my child to have their face painted / nail polish / hair sprayed if they wish Yes No
I give permission for my child to watch G or PG or M rated programs (TV, DVD, Video or Movies)
and play G or PG or M rated computer games Yes No
Do you have Ambulance Cover Yes No
Does your child / children have any special needs that staff need to be aware of? Yes No
If yes please complete enrolment form 'B' (Please obtain from the office)
Signature: Date:
It is YMCA policy that all action plans (these must be within the last 12 months) be attached to each vacation care booking form prior to processing of the booking. Any child with Diabetes, Anaphylaxis / Asthma or Allergy must complete a new risk management policy every 12 months.
Authority to give medication formIf the child/ren require/s medication while on program an must be completed. You can obtain a form from Queanbeyan YMCA office - 02 6297 2334
QUEANBEYAN
School Holiday Fun • Booking Form School Holiday Fun • Booking Form B U N G E N D O R E
A B C D
A B C D
$46
$20
8.00am - 6.00pm
9.00am - 2.00pm
A B C D $468.00am - 6.00pm
A B C D
A B C D
$46
$10
8.00am - 6.00pm
9.30am - 12.30pm
A B C D
A B C D
$46
$16
8.00am - 6.00pm
10.30am - 1.00pm
Please note: Please do not turn up on the day and expect to be booked in as we have a strict staff to children ratio.
PLEASE NO MEAL DEALS ON EXCURSION DAYSAttendance
Who is attending? Indicate child A, B, C and D in the table below:
Child A: Child B:
Child C: Child D:
ACTIVITY Time Cost SubtotalChildren Attending Risk Assessment
Office Use:Exc No.
A B C D
A B C D
$46
$12
8.00am - 6.00pm
9.30am - 1.30pm
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KIDS IN THE KITCHEN
Excursion - Bungendore Swimming Pool
WINNIE THE POOH
In House Activity - Cooking
ART ATTACK
In house Activity - Bricks for Kids
REDUCE, RE-USE AND RECYCLE
Movies - Ralph Breaks the Internet
ANIMAL PLANET
QUEANBEYAN
School Holiday Fun • Booking Form School Holiday Fun • Booking Form B U N G E N D O R E
A B C D $468.00am - 6.00pm
A B C D
A B C D
$46
$30
8.00am - 6.00pm
90.00am - 1.30pm
OUT OF SPACE
ALL THINGS MINION
Excursion - One 2 Step Dance
UNDER THE SEA
In House - Candlemaking
A B C D
A B C D
$46
$10
8.00am - 6.00pm
9.00am - 1.00pm
8.00am - 6.00pm
A B C D
A B C D
$46
$11
8.00am - 6.00pm
9.00am - 1.00pm
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MYTHICAL CREATURES
AUSTRALIA DAY CRAFTS
Excursion - Paddle Hub
PUPIL FREE DAY A B C D $468.00am - 6.00pm8.00am - 6.00pm
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Excursion - Lawn Bowls and BBQ
A B C D
A B C D
$46
$8
8.00am - 6.00pm
9.00am - 1.00pm
QUEANBEYAN
YMCA of QUEANBEYAN - Kool Kids Bungendore VACATION CARE
Operating at ground of Bungendore Public School
Gibraltar Street Bungendore NSW 2621
Phone: (02) 6297 2334 • Mobile: 0408 470 177
Email: [email protected]
Office Use Only.
Name of staff entered
Received date
Entered
Amount and date paid for excursions $
Notified if excursion is full
Waiting list number for Bungendore excursion
School Holiday Fun • Booking Form School Holiday Fun • Booking Form B U N G E N D O R E
Swimming Bungendore PoolWednesday 16th January 2019
I, (name of guardian / parent)
of (address)
consent to (name of child)
Attending the swimming activity on Wednesday 16th January 2019.
Age of child
Is he / she Weak Medium Strong Swimmer?
Phone: Mobile:
Signed: Date:
QUEANBEYAN
School Holiday Fun • Authorisation Form School Holiday Fun • Authorisation Form B U N G E N D O R E