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For The Calendar... SpottedNews & Views Crookwell Public School 8 th February, 2019 Term 1 Week 2 Alec, Sam Dooley and Vincent Bill for keeping our primary students safe during the morning run. Bodi Waters for his terrific hard work and positive attitude. Betsy Willis, Sophie Ward and Hanna Hunt for their contributions to exploring science. Nathan Rowles for his fantastic origami boats. Bluegum students for wonderful house spirit and sportsmanship. Thanks to the many students who keep our school perimeter tidy during the morning run. Jay Knight for his assistance at sport. Waratah House Captains for their organisation and creativity! Charles Butler for trying his best in every assessment. Abigail Gray for completing extra work at home. Joshua Ross for resilience. Mr Roberts Welcome to our school! Mr Nedanoski for organising a fantastic swimming carnival. George Lee for outstanding organisational skills. Cameron Morton for sharing cool facts about his new pet! Shane McIlwain for using his initiative to assist sports captains. Thank you! Lazarus Topalidis for handing in lost property. Alfie Haynes & Jordan Tate for helping set up the classroom. Braxton Druett & Noah Edwards for their eager attitude in numeracy! Tyler Smith for helping a younger student in the playground who was injured. Flo Dark, Issy Cole & Abby Merryfull for tidying the hall. Ava Rogan & Eve Roberts for being patient & competent sound room monitors. Our new Prefects for running a great first assembly. Anthony Barber for being a gentleman! Nathaniel Hockley for wonderful number sentence addition work. Sam Frost for impressive writing during ‘Sentence a Day’. We acknowledge the traditional custodians of this land, the Gundungurra nation, and pay our respects to Elders past, present and future 43 Denison Street, Crookwell Ph: 48321213 Fax: 48321353 Email: [email protected] www.crookwell-p.schools.nsw.edu.au Working Together, Growing Together Next week Mon. 11 Feb P&C Meeting in the staffroom at 4.00pm Coming up Mon. 18 Feb Yrs 2/3 Swimming Scheme commences Mon. 25 Feb ‘Meet & Greet’ afternoon Thu. 28 Feb District Swimming Carnival ~ Goulburn Fri. 01 Mar Yrs 2/3 Swimming Scheme concludes Fri. 01 Mar Clean Up Australia Day Tue. 05 Mar Jollybops Science Show Wed. 06 Mar School Photograph Day Thu. 07 Mar Peer Support Training Year 6 Fri. 08 Mar Peer Support Training Year 6 Fri. 08 Mar Yr 6 Hall Sleepover Mon. 11 Mar Boys District soccer trials ~ Goulburn Wed. 13 Mar Regional Swimming Carnival ~ Goulburn Sat. 16 Mar Binda Picnic Races Mon. 18 Mar Girls District soccer trials ~ Goulburn Thu. 21 Mar Harmony Day Thu. 21 Mar Girls & Boys District hockey trials ~ Goulburn Thu. 28 Mar District Rugby League Trials Thu. 11 Apr Education Expo 5.00 7.00pm Find us on Facebook: www.facebook.com/CrookwellPublicSchool/ Help us grow our page by sharing it with fellow parents and family members.

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Page 1: Crookwell Public School News & Views › content › dam › ... · Crookwell Public School 2019 Water Carnival On Thursday Year 3-6 students attended the annual Crookwell Public

For The Calendar... Spotted…

News & Views Crookwell Public School

8th February, 2019 Term 1 Week 2

Alec, Sam Dooley and Vincent Bill for keeping our primary students safe during the morning run.

Bodi Waters for his terrific hard work and positive attitude.

Betsy Willis, Sophie Ward and Hanna Hunt for their contributions to exploring science.

Nathan Rowles for his fantastic origami boats.

Bluegum students for wonderful house spirit and sportsmanship.

Thanks to the many students who keep our school perimeter tidy during the morning run.

Jay Knight for his assistance at sport.

Waratah House Captains for their organisation and creativity!

Charles Butler for trying his best in every assessment.

Abigail Gray for completing extra work at home.

Joshua Ross for resilience.

Mr Roberts – Welcome to our school!

Mr Nedanoski for organising a fantastic swimming carnival.

George Lee for outstanding organisational skills.

Cameron Morton for sharing cool facts about his new pet!

Shane McIlwain for using his initiative to assist sports captains. Thank you!

Lazarus Topalidis for handing in lost property.

Alfie Haynes & Jordan Tate for helping set up the classroom.

Braxton Druett & Noah Edwards for their eager attitude in numeracy!

Tyler Smith for helping a younger student in the playground who was injured.

Flo Dark, Issy Cole & Abby Merryfull for tidying the hall.

Ava Rogan & Eve Roberts for being patient & competent sound room monitors.

Our new Prefects for running a great first assembly.

Anthony Barber for being a gentleman!

Nathaniel Hockley for wonderful number sentence addition work.

Sam Frost for impressive writing during ‘Sentence a Day’.

We acknowledge the traditional custodians of this land, the Gundungurra

nation, and pay our respects to Elders past, present and future

43 Denison Street, Crookwell

Ph: 48321213 Fax: 48321353

Email: [email protected]

www.crookwell-p.schools.nsw.edu.au

Working Together, Growing Together

Next week

Mon. 11 Feb P&C Meeting in the staffroom at 4.00pm Coming up

Mon. 18 Feb Yrs 2/3 Swimming Scheme commences

Mon. 25 Feb ‘Meet & Greet’ afternoon

Thu. 28 Feb District Swimming Carnival ~ Goulburn

Fri. 01 Mar Yrs 2/3 Swimming Scheme concludes

Fri. 01 Mar Clean Up Australia Day

Tue. 05 Mar Jollybops Science Show

Wed. 06 Mar School Photograph Day

Thu. 07 Mar Peer Support Training – Year 6

Fri. 08 Mar Peer Support Training – Year 6

Fri. 08 Mar Yr 6 Hall Sleepover

Mon. 11 Mar Boys District soccer trials ~ Goulburn

Wed. 13 Mar Regional Swimming Carnival ~ Goulburn

Sat. 16 Mar Binda Picnic Races

Mon. 18 Mar Girls District soccer trials ~ Goulburn

Thu. 21 Mar Harmony Day

Thu. 21 Mar Girls & Boys District hockey trials ~ Goulburn

Thu. 28 Mar District Rugby League Trials

Thu. 11 Apr Education Expo 5.00 – 7.00pm

Find us on Facebook:

www.facebook.com/CrookwellPublicSchool/

Help us grow our page by sharing it with fellow parents and family members.

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Welcome Kindergarten 2019! Kindergarten students arrived at school on Monday morning with big, bright smiles on their faces eager to begin their journey through primary school. This week, Kindergarten students have formed many new friendships and they have been introduced to their Year 6 buddies. It has certainly been a big week at big school for our littlest students.

A highlight of the week has been the excitement of learning to read their first few books. What a fun and enjoyable year we have ahead of us!

Miss O’Neill and Ms Caffery

Kai Fowler and Charles Willis spend time together building

with blocks.

Isabelle Hewitt enjoys using Ms Caffery’s pens on the writing

table.

Charlie Cramp is excited for her first day of Kindergarten.

Oliver Keith was pleased to start ‘big’ school.

Poppy Snape enjoys dressing the Barbie dolls up beautifully.

Ms Lauren Caffery, Miss Kirstie O’Neill and Kindergarten of

2019.

Year 6 & Kindergarten Buddies Year 6 has been enjoying spending some time in the Kindergarten classroom this week getting to know their new Kindy buddies. Year 6 has also supported their buddies in the playground and during home time routines. Thanks Year 6 for your outstanding leadership and thanks Kindergarten for being awesome!

Issy, Charlie, Abby, Oliver and Annie share the afternoon manipulating play dough.

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Aria Bailey and Eve Roberts get to know each other.

Some Year 6 boys help Caden and Ned build a very tall

tower with blocks.

Sibling love between Eli and Olivia.

Lily Butler and Olivia Stepien complete maths activities

together.

K-2 Information! It was great to have our new Kindergarten students commence school this week.

This term K-2 sport will be on Wednesdays. Please wear sports uniform on these days. Sport will be a combination of tabloid games and gross motor skills that we will showcase later in the term at our athletics carnival.

We hope you have all had a wonderful week back at school!

Thank you. K-2 Teachers: Miss Kirstie O’Neill, Ms Lauren Caffery, Mrs Sarah Whittington, Mr Greg Atfield and Miss Sophie Stephenson

Meet and Greet Afternoon

On Monday 25th

February there will be an opportunity for teachers and parents to meet one another and exchange information that may enhance the quality of a child’s educational experience at school.

Meetings will be conducted at 3.30pm for Kindergarten in the Kindergarten classroom and at 3.30pm also for Years 1/2G, 1/2H and 1/2W in Mrs Whittington’s classroom. Years 3/4H and 3/4K will meet in the Technology Centre at 4pm while Year 5/6B1, Yr 5/6B2 and Year 5/6N will meet in the Mrs Bell’s room at 4.30pm. Opportunities are available for

parents to speak to their child’s class teacher after the group meetings.

We hope you are able to attend. We look forward to seeing you at this gathering. Child Protection Lessons – Stage 3 This term Stage 3 students (Year 5 & 6) will be participating in mandatory Child Protection lessons in their Personal Development and Health lessons. The topics include Different Types of Relationships, Identifying and Responding to Risks, Body Parts, Emotional Abuse & Neglect, Harassment, Personal Rights and Expectations of Gender Roles. These topics can be sensitive and challenging but are crucial in protecting our young people. Your child/ren may come home and want to discuss these topics with you further.

If you require further information about these topics please arrange a time to speak with Miss Bell or Mr Nedanoski by phoning the school on 48 321 213.

Update Your Details

Have you moved, got a new email address or changed phone numbers? Please inform the school office of any changes in your living situation so we can contact you when the need arises.

Does Your Child Travel To School On A Bus? Many children travel to and from school by bus each day. Students require bus passes. Applications for passes may be obtained from the school office. The completed forms should be returned to the office. The bus driver will issue passes as they are processed.

Bus passes are only valid for a specific bus route, so a new bus application must be completed for any change to bus stop or bus company.

Thank you Billie Willis - School Administration Manager

School Photographs - Wednesday 6th March

On Wednesday 6th

March The School Photographer will visit the school to take class, individual and sibling photographs. Please ensure your child comes to school on that day looking clean, neat and tidy wearing full Crookwell Public School summer uniform. Remember jewellery is not permitted and girls can wear only red hair accessories.

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Crookwell Public School 2019 Water Carnival On Thursday Year 3-6 students attended the annual Crookwell Public School swimming carnival. The day was a great success. The perfect weather saw a large number of students competing in the competitive races, along with all students taking part in the novelty events. A big congratulations goes to Wattle house who won the carnival on 169 points, Waratah second with 140 and Bluegum third

on 92 points.

The staff and students would like to express their appreciation to the parent helpers that took time out of their day to assist in various ways.

Congratulations to our iron man and iron woman and good luck to all the students representing Crookwell Public School at the district swimming carnival taking place in Goulburn, Thursday 28

th February.

Bojan Nedanoski Sports Coordinator

Junior girls ready for their 50m backstroke race.

Mrs Thorpe, Miss Bell and Mrs Hayes look good in their

matching Hawaiian shirts!

Shane McIlwain had a great time gaining points for his house

in the rope pull.

Mrs Bell and William McDonald both enjoy the kickboard

activity.

Miss Bell couldn’t throw the rings in quick enough.

Harry Bailey plunges in to the water for the rope pull.

Congratulations Wattle on winning the 2019

Swimming Carnival!

Swimming Age Champions Congratulations to all the students that took part in the 2019 Crookwell Public School water carnival. Well done to our age champions:

Senior Boys- Luke Palmer

Senior Girls- Annie Knight

11 Boys- Jay Knight

11 Girls- Sophie Watson

Junior Boys- Rory Hallam

Junior Girls- Emma Robertson

Age champion medals will be presented at assembly Friday 15

th February, 2019. Parents and guests are welcome.

Good luck to all the students representing Crookwell Public School in the district carnival in Goulburn, Thursday 28

th

February.

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2019 VOLUNTARY SCHOOL CONTRIBUTION

What is A Voluntary School Contribution?

The vast majority of public schools request a contribution from parents each year to supplement existing funding. These contributions allow schools to provide additional resources and learning programs for our students.

What Will The Money Be Used For?

The money will be used to purchase resources to support teaching/learning programs for each student across the school.

How Much? The suggested contribution is $49 per child. Please note that this roughly equates to $1 per child per week. I cannot stress enough the difference to our school finances that your contribution will make. The contribution fees are within the guidelines as set out by the Department of Education.

How To Pay

Please place your contribution, with the slip below, in an envelope and return it to the school office as soon as you are able. If you prefer, you may choose to pay a contribution in instalments. A receipt will be issued for all monies received.

Thank you for your ongoing support of our school. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- -

Crookwell Public School

2019 VOLUNTARY SCHOOL CONTRIBUTION

Please find enclosed cash/cheque for $________________ (full contribution / instalment)

(Please make cheques payable to Crookwell Public School)

Family Name: ________________________

Name/s of child/ren: 1. _______________________________ 2. _______________________________ 3. _______________________________ 4._______________________________

Signature: _______________________________________

Date: ___________________ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

Term 1 Reminders Students are expected to wear full summer uniform,

which includes the school hat and school socks, to school every day.

Please avoid sending to school noodles or any other food that requires heating.

Students who arrive at school late or leave school early must be signed in/out at the administration office.

Verbal or written explanation must be given to the school to explain all student absences.

Students are not prevented from bringing personal belongings to school, but please remember to leave very precious or expensive items at home as the school cannot accept responsibility for belongings that are lost or stolen. iPads, iPods etc that are brought to school need to be given to class teachers as soon as the device owning student arrives at school and are to be collected at the end of the day as they depart for home.

Please encourage your children to walk across the pedestrian crossing at the front of the school when crossing the road to meet you of an afternoon.

Having Fun with Maths Students in 1/2G found a practical way of comparing lengths when they built towers during their maths lessons. Students, working in groups, applied real world concepts such as ‘taller than’, ‘shorter than’ and ‘equal to’ while simultaneously discovering that maths is exciting.

Tommy Dunn and Caleb Woods, watched by Huddy Hape,

build a tower that they hope will reach the classroom ceiling.

Published Weekly

The school newsletter called, ‘News & Views’ is the primary method the school communicates with its families. The newsletter can be accessed through the Crookwell Public School webpage (www.crookwell-p.schools.nsw.edu.au ) or receive a hard copy of the newsletter which is sent home with the youngest child of the family attending school on the last day of each school week.

Many families have the newsletter emailed rather than receive a hard copy. This method of communication is preferred by the school as it is more economical in terms of time and resources, and is a more reliable method by which to convey information about school happenings to a student’s family.

If you would prefer to have the newsletter emailed please return the slip below so we can add you to our list. Otherwise please check your child’s bag on the last day of each school week in order to keep up-to-date with school happenings.

Thank you, Michael Whittington

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - News & Views email list

I would like to be added to the Crookwell Public School

‘News & Views’ email list. My email address is:-

________________________________________________

Name: _________________________________

Signature: _________________________ Date: ________

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Selecting a Scripture or Ethics Group

Please read the information below as an outline of each scripture group to help you make your decision.

Protestant: Protestant scripture classes are religious and

available for students in Kindergarten to Year 6. Classes are taught by a representative from the local Anglican or Uniting churches. Lessons are religious and values based.

Catholic: Catholic scripture classes are religious and are

available for students in Kindergarten to Year 6. Classes are taught by a representative from the local Catholic churches (including St Marys). Lessons are religious and values based.

Ethics: Ethics classes are a non-religious option for students

in Years 3-4. Ethics classes involve lessons based on values and building positive relationships with others.

Non Participation in Ethics and Scripture classes:

Students who attend non-scripture classes will not be taught however they will be supervised by a staff member. Students will have the opportunity to access technology, books and writing materials during this time.

Please make an informed choice when selecting the most appropriate option for your child. If you would like more information please speak to the Principal, Mr Michael Whittington, by phoning the school office on 48 321 213.

Ethics or Scripture Classes or Neither? Each Thursday morning, trained members of our community visit the school to lead 30 minute scripture and ethics classes. Students, with parental consent, may participate in either ethics or scripture classes. Children of parents who do not wish for them to participate in either of these classes will be supervised by a member of Crookwell Public School’s staff.

To ensure students participate in classes according to their parents’ wishes please complete and return the attached table by Friday 8

th February, 2019.

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- -

Ethics or Scripture Classes or Neither?

Class Student Names Kindergarten Protestant

Kindergarten, Years 1 & 2 Non-participation

Kindergarten, Years 1 & 2 Catholic

Year 1 Protestant

Year 2 Protestant

Year 3 Protestant

Year 4 Protestant

Years 3/4 Ethics

Year 5/6 Protestant

Year 3/4/5/6 Catholic

Year 3/4/5/6 Non participation

_________________________________ (Parent/Guardian Signature) ________________________ (Date) - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- -

Jollybops Science Show The Jollybops Science Show brings science alive for

students through exciting, stimulating and interactive shows! Rusty the Robot and The Jolly Professor are back to entertain students from Kindergarten to Year 6 on Tuesday 5

th March 2019!

This year’s K-2 show is all about Balloon Science, this includes “exploding hydrogen balloons, spooky fog balloon helicopters that fly to the roof and back and liquids that mysteriously change colour”. The show for Years 3-6 is called Natural Phenomena & Energy, “Students will learn about the explosive fuel of the future, hydrogen, see many items freeze and shatter under the stress and strain of the super cold liquid nitrogen, watch materials burn, watch air crush an aluminum can, learn more about the properties of solids, liquids and gases”.

The K-2 performance will commence at 12.20pm and Yrs 3-6 performance at 2pm. The cost for this exciting performance is $7.00 per child. Please return the following permission note and money to the school by Monday 4

th March 2019.

Miss O’Neill - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

Jollybops Science Show I give permission for my child(ren) ____________________________________________ to attend the Jollybops performance on Tuesday 5

th March

2019. I have enclosed $7.00 per child. Parent/Guardian signature: If payment made online POP Receipt Number: Date: - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Primary Sports Days This term Stage 2 (Years 3 & 4) will have their sport on a Thursday and Stage 3 (Years 5 & 6) will hold theirs on a Wednesday. Please remember to wear your sports clothes on your allocated day and be prepared with a hat and plenty of water!

Thank you Primary teachers

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Stage 1 News Topics Next week, students in Stage 1 will begin sharing news with their class once a week. Students will speak on a variety of news topics to share their knowledge and understanding on key learning areas covered at school. We ask that you encourage your child to regularly participate, as it benefits their speaking and listening skills. Please see the table below for your child’s news day. Thank you for your support!

1/2G

Monday Tuesday Wednesday Thursday Friday

Ollie Sam F. Liam Gemma Ivy

Charlotte Tully Lane Logan Briah

Brayden Chloe Huddy Kobie

Tommy Nathaniel Caleb

1/2H

Monday Tuesday Wednesday Thursday Friday

Alvin Braith Harrison Charli Bastian

Indi Tyler Jim Ava Phoenix

Emma Lachlan P. Zoe Thomas Sam H.

Haris Ned

1/2W

Monday Tuesday Wednesday Thursday Friday

Daniel Laura Braxton Noah Zackery

Kenzi Cooper Lachlan N. Levi Koa

Tatyana Milyana Alfie Seanna Mia

Piquet Lennon Georgie Jordan

Week Topic

3 Draw a pattern using colours, shapes or numbers.

4 Share 3 of your favourite jokes.

5 What is your favourite book? Bring it in and share it with the class.

6 Talk about a pet you have or you would like to have?

7 Draw a self-portrait and share what makes you different from other people.

8 Create a picture using only 2D shapes.

9 Living and non-living things, can you make a list of each?

10 When I grow up I want to be…

11 Talk about a place you hope to visit in the holidays.

No Hat …… Play In The Shade Australia has the highest incidence of skin cancer in the world with 140,000 new cases and 1,000 deaths recorded annually. The increasing occurrence of skin cancer in Australia is a matter of concern with skin cancers accounting for 80% of all new cancers diagnosed each year.

The A.C.T. and surrounding region has one of the highest rates of skin cancer in Australia. The major cause of skin cancer is exposure to ultraviolet radiation over many years, particularly during childhood and adolescence. Even if exposure does not cause obvious sunburn, damage still occurs and accumulates over the years.

To help protect students from over exposure to the sun during Term 1, the school’s policy of ‘No Hat…Play in the Shade,’ will be strictly enforced.

Please encourage your child to wear their school hat at school to help keep them sun safe.

N.B. Adjustable microfibre school hats are available from the uniform shop at a cost of $15.00.

To Keep Track of Your Child’s Belongings You can: use a permanent laundry marker to label clothes, hats

and shoes, or sew or iron on personalised labels

go through your child’s bag with them each night

check that labels haven’t faded with washing

enquire at the office when something is misplaced and they will direct you to the school’s lost property area.

Spotted cont. Kindergarten students for a fabulous start to BIG school!

Jacob Waters for engaging in a good conversation with Miss O’Neill.

Rory Hallam, Jack Haynes and Billy Speer for playing an interesting game of Tennis at lunch time.

Ms Caffery for superbly sewing all the teachers’ new scarves.

Emma Campbell for always having a big smile on her face.

Brax Druett for being a wonderful friend to younger students.

Harry Bailey for looking after playground wildlife.

Year 6 students for being fantastic buddies to Kindergarten.

Return and Earn We have become a donating partner at our local Return and Earn. How does it work? Take your eligible bottles, cans or cartons to the Crookwell Return and Earn station located behind the Crookwell IGA. Each eligible container can be returned for 10 cents. When at the station you can choose the option to donate. The two options will be:

To print a retail voucher that can be given to the school office to redeem OR scan the schools unique barcode (to be set up in due course).

Our registered period as a donating partner finishes soon (24

th February 2019), please consider choosing our

school for a donation.

Yours in Public Education,

Michael Whittington Principal

Jade Bell Assistant Principal

Kirstie O’Neill Assistant Principal

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P&C News Our first P&C meeting for the year is Monday 11

th February

at 4pm in the staffroom.

Monday 11th

March will be our P&C AGM where all positions will be declared vacant. If you are a 2018 financial member of the P&C your 2019 membership fee will be due to the treasurer by the close of the February meeting.

If you are not currently a financial P&C member and would like to vote or be nominated for a position at the upcoming AGM you need to pay your 2018 membership fee and a 2019 membership fee by the close of the February meeting.

Annual membership is only $2 per year per person. You may attend a meeting as a non- financial member at any time of the year however you will not be eligible to vote on any matters. You may become a financial member at any time of the year however your eligibility to vote will come into effect at the general meeting following the receipt of your membership fee.

Canteen News Our canteen will not be operational until a new committee is

formed, volunteers come forward and a roster created. Our first P&C meeting for the year will be held on Monday 11

th

February at 4.00pm in the staffroom and we encourage all current P&C members to attend as well as parents who would like to join our hard working group. Our P&C run canteen raises thousands of dollars each year which is then used to enrich the education of all students at the school through the purchase of resources such as interactive televisions. If you would like to nominate for the canteen committee or put your name down for the roster please call the school office on 48 321 213.

Community Announcements …………………

The inclusion of any announcement does not constitute or imply endorsement, sponsorship or recommendation

thereof by Crookwell Public School.

The NSW Government Creative kids rebate for

2019 is available. McCann’s Music is a registered provider. For more information go to https://www.nsw.gov.au/news-and-

events/news/100-rebate-for-creative-kids/

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CROOKWELL SOCCER CLUB JUNIOR

REGISTRATION FORM REGISTRATION DAY – Saturday 9th March 2019

at the Amenities Block, Goulburn St, Crookwell.

TIME - 9am to 11am REGISTRATION FEE - $50 per child

Please note: REGISTRATION WILL NOT BE ACCEPTED UNLESS ACCOMPANIED BY

PAYMENT or VALID “ACTIVE KID” VOUCHER NUMBER.

Players Name: Date of Birth: Active Kid Voucher Number (If applicable)

/ / - - -

/ / - - -

/ / - - -

/ / - - -

FEES PAID: Cash or Cheque - YES / NO Receipt Number: _________________________

Direct Deposit – Bank Account Details Bendigo Bank Date: _______________ Crookwell Soccer Club Reference #: ____________________ BSB 633 000 Account 1598 611 29 (Please use your child’s name as reference)

Parents Name/s: ___________________________________________________________________

Mobile Phone Number/s: ____________________________________________________________

Email Address: ____________________________________________________________________

Emergency Contact Name: _____________________________________________________

Phone Number: __________________________

Is anyone in your family interested in coaching a team? Yes / No

If yes, Name/s: ________________________________________________________

Which particular child, if any? _____________________________________________

Is anyone in your family interested in refereeing? Yes / No

If yes, Name/s: ________________________________________________________ (Children in A & B Grade only are permitted to referee, as well as adults. Interested persons are required to

attend one (1) afternoon training course. A small payment is made to junior referees for their time and effort.)

Working with Children Number: ________________________

Does anyone in your family have a current first aid certificate? Yes / No

If yes, Name/s: ______________________________________________________________

Certificate Number/s: _________________________________________________________

Mobile Phone Number/s: ______________________________________________________

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Permission to Publish - 2019

Dear Parent / Caregiver,

We are seeking your permission to allow the Crookwell Soccer Club to publish

information about your child/children for the purposes of sharing their experiences

playing soccer and promoting the Crookwell Soccer Club. This information may

include photographs of your child/children playing soccer or involved in Club

activities and details about the event such as your child’s / children’s name and

involvement.

The media in which your child’s / children’s information may be published include:

The Crookwell Soccer Club website

Official Club Facebook accounts

Local newspapers such as the Crookwell Gazette and the Goulburn Post

Parents / caregivers should be aware that when information is published on public

websites and social media channels, it can be discoverable online for a number of

years, if not permanently. Search engines may also cache or retain copies of

published information. Published information can also be linked to by third parties.

It would be appreciated if you indicate your consent below.

Thanking you,

Crookwell Soccer Club Committee

I / We, ………………………………..……………………………………………………………………………………

being the parent/s or caregiver/s of

…………………………………………………………………………………………………………………………………

…………………………………………………………………………………………………………………………………

hereby - give my / our consent .. do not give my / our consent (circle choice)

to the above child’s / children’s information being published by the Crookwell

Soccer Club.

Signature/s: ………………………………………………………………………………………………………........