Monday’August’21,’2017’ - kingston.vic.gov.au · Monday’August’21,’2017 ... % Great for working parents Join the epic fun ... fruit salad. Master Magician $78.00 Sticky

Monday August 21, 2017

Dear Parent/Guardian

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

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

Note to Mill St families who receive funding support (ISP & NDIS). Four questions have been added to the back page of Form A and Form C to support enrolment. Please fill out Form A again to ensure we receive the information required.

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

Fees Daily Fee $62.90, Workshops/Excursions –dependent on the activity Late Collection Fee $20 per 15 minutes or part hereof. Late Enrolment Fee $39.30 Fee Calculator: For families eligible for Child Care Benefit (CCB) and / or Child Care Rebate (CCR ) the calculator is now on our website to assist you to estimate the out of pocket expense.

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

Applications for enrolment open 9am Monday 28 August, 2017 and close 5pm Friday 15 September, 2017. It is requested that the enrolment form for a child who requires support for inclusion in a program be submitted by Friday 1 September, 2017 to allow time to apply for support funding. Children cannot attend the program until an enrolment form is complete and payment has been made. Enrolments can be submitted by post, email or fax. For details refer to the back page of the brochure. Applications for enrolment at Mill Street, Aspendale close 5pm Wednesday, 6 September, 2017. (Please note: the enrolment period for Mill St has been shortened to expedite the allocation of places, which will enable families to source alternative care if required. Due to the strong demand for this program a Priority Allocation Policy is applied to determine the allocation of places. One consideration within the policy criteria is based on the date of the application received (for more details, please refer to our Website to view a copy of the policy)

If you have any questions after reading the information enclosed, please feel free to contact the Holiday program team: on 9581 4846 or 9581 4875.

Kind Regards Julie Hasselby Coordinator Holiday Program

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

4. Fill out Bform

Excursion Permission5. Fill out C

form

Booking + Payment

~ everyone is welcome ~

locationsMill St Aspendale Yarrabah School

Bonbeach Primary School

Dingley Primary School

Moorabbin Primary School

key datesEnrolments open: 9am Monday 28 August

Enrolments close: 5pm Friday 15 September

Mill St Aspendale enrolments close 5pm Wednesday 6 September

note

25 September - 6 October 2017

download forms online!

save 50%or more! Activities are summary only and are subject to change Excursion days: children must be at venues by 8.30am sharp.

please note

Children MUST wear a hat and sun

smart clothing to play outdoors

Holiday ProgramHoliday Program

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 8.30am sharp, unless instructed otherwise by educators.

please note

MON 25 SEPT

TUE 26 SEPT

THUR 28 SEPT

WED 27 SEPT

FRI 29 SEPT

MON 2 OCT

TUE 3 OCT

WED 4 OCT

THUR 5 OCT

FRI 6 OCT

0418 437 832 0439 868 716

School Holiday Program 25 September – 6 OctoberSchool Holiday Program 25 September – 6 October

places

available

45

places

available

60All Bonbeach

parents are required to sign the excursion

permission form to have regular access to the

playground. Workshop – Ultimate RC Events $76.80

Starts: 11.00amCome and have a blast with some high powered remote controlled cars that we can race, jump and have fun with.

In House Day – Footy Day $62.90Program rules; footy day – wear your team colours; longest kick competition; footy match children V’s leaders; party pie lunch; handball competition; Jack in the park.

In House Day $62.90Program rules; decorating biscuits; parachute games; scratch painting; slime; Snap / Celebrity Heads.

In House Day $62.90Program rules; Icebreaker games – name drop; human knot; dream catches; friendship bands; coloured corners; piñata making.

Excursion – Jump Central $77.80Unit 2, 117 Cochranes Rd, MoorabbinDepart: 9.30am Return: 3.30pm Jumping into Grand Final week at Jump Central, always a crowd favourite.

Excursion – Chinese Museum & Birrarung Marr $89.0022 Cohen Pl, Melbourne & Batman Ave, MelbourneDepart: 8.45am Return: 4.00pmHeads down thumbs up; charcoal drawings.

Excursion – Super Zu $89.00362-364 Boundary Rd, DingleyDepart: 8.45am Return: 2.00pmObstacle course; coloured corners; don’t fall down twister.

Excursion – Sovereign Hill $93.00Bradshaw St, BallaratDepart: 8.15am Return: 4.30pmGraffiti wall; egg drop.

In House Day – Jumper/Jersey Day $62.80Wear your favourite team’s uniform – this can be for footy, basketball, netball, cricket or anything else you follow and support.

Excursion – Eastern Gymnastics $89.0021 Clarice Rd, Box Hill SouthDepart: 8.45am Return: 4.00pmWatercolour painting; dodgeball; playground obstacle course.

Workshop – Japanese Drumming $78.00Rice paper rolls; making fans; dress-up if you want – Japanese dress-up; Pokemons.

Excursion – Bayside Rock Climbing $89.009 Network Dr, CarrumDepart: 8.45am Return: 1.00pm Red letter; Flash flood; pop the piñata.

Excursion – Ian Potter Children’s Garden $77.80Royal Botanic Gardens, Birdwood Ave, MelbourneDepart: 9.30am Return: 3.30pm “50 things for kids to do” – do you think you can mark off all 50 things to do in this amazing garden?

Workshop – Circus Ready Set Go $78.00Uno challenge; fruit kebabs with Milo.

Workshop - Wild Action $80.00Rice paper rolls; movies and popcorn.

Workshop - Circus Ready Set Go $87.00Wear your footy colours; footy games; the biggest fan; handball; sausage sizzle.

Public Holiday No Program Public Holiday No Program Public Holiday No Program Public Holiday No Program

Excursion – Eastern Gymnastics $77.8021 Clarice Road, Box HillDepart: 9.30am Return: 3.30pm Energy filled day at Gymnastics – this is proving to be super popular.

In House Day – Musical Statues $62.90Make pizza; making slime; wink detective; make your own pompoms.

In House Day – PJ Day $62.90

Come dressed in your PJ’s; kinetic sand; finger knitting; God’s eyes; pizza; numbered corner.

In House Day $62.90

Candle making; scratch art; scones; red letter; kids café & lets cook; making scones.

In House Day – Arts n Crafts Creation Day $62.90Get your creative hats on with us. We will be creating masterpieces so please bring old clothes and/or an art smock.

Excursion – Werribee Zoo $92.00K Road, Werribee SouthDepart: 8.45am Return: 4.00pmSilent ball; red letter.

Excursion – Ballam Park $81.00Unit 1/260R Cranbourne Rd, FrankstonDepart: 8.45am Return: 3.00pmSack race; coloured corners.

Excursion – Walley Tew Reserve $85.006 Lyndale Ct, Ferntree Gully Depart: 8.45am Return: 4.00pmMoorabbin has got talent.

Excursion – The Big Goose Farm $77.80233 Mornington-Tyabb Rd, MoorooducDepart: 9.30am Return: 3.30pm Pat and feed the animals at The Big Goose and come and watch the animal shows.

Excursion – Bowling & Laser Tag $86.001866 Princes Hwy, ClaytonDepart: 8.45am Return: 1.00pmKnock out challenge; hama beads; fruit salad.

Workshop – Duck Cameron Australia’s Master Magician $78.00Sticky musical statues; sticky musical game; animal statues; music notes; making cookies.

Excursion – Rush HQ $86.0039S Corporate Ave, RowvilleDepart: 8.45am Return: 1.00pmMaking slime; silent ball; dodgeball.

Workshop – Flying Doctors $76.80Starts: 11.00amFlying doctors are coming to show us how they do their amazing job. This incursion has come highly recommended.

Excursion – Luna Park $87.0018 Lower Esplanade, St KildaDepart: 8.45am Return: 4.00pmSleeping lions; finger knitting.

Excursion – Luna Park $87.0018 Lower Esplanade, St KildaDepart: 8.45am Return: 4.00pmMarble painting; salad spinner painting.

Excursion – Luna Park $87.0018 Lower Esplanade, St KildaDepart: 8.45am Return: 4.00pmHama beads; chalk drawing.

Workshop – AFL Victoria $76.80Starts: 11.00amWhat a two weeks, and . . . It’s not finished yet! AFL Victoria are coming to see us for a clinic.

Workshop – Duck Cameron Australia’s Master Magician $78.00Marble painting; make your own ninja gingerbread; movie and popcorn.

In House Day – Celebrate 20 Years at Dingley Primary School $79.00

Jumping castle and face painting; party food; hama beads; lanterns; group games.

Workshop – Dinosaur Diggers $84.00Afternoon movie and popcorn; card towers; Chinese whispers.

DingleyDingley Primary Centre Dandenong Rd MELWAYS: 88 F6

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

MON 25 SEPT

TUE 26 SEPT

THUR 28 SEPT

WED 27 SEPT

FRI 29 SEPT

MON 2 OCT

TUE 3 OCT

WED 4 OCT

THUR 5 OCT

FRI 6 OCT

MoorabbinMoorabbin Primary Worthing Road MELWAYS: 77 E7

0439 868 714 0439 868 713

School Holiday Program 25 September – 6 OctoberSchool Holiday Program 25 September – 6 October

fun for

kids!

places

available

55

places

available

60

Workshop – Ultimate RC Events $76.80Starts: 11.00amCome and have a blast with some high powered remote controlled cars that we can race, jump and have fun with.

In House Day – Footy Day $62.90Program rules; footy day – wear your team colours; longest kick competition; footy match children V’s leaders; party pie lunch; handball competition; Jack in the park.

In House Day $62.90Program rules; decorating biscuits; parachute games; scratch painting; slime; Snap / Celebrity Heads.

In House Day $62.90Program rules; Icebreaker games – name drop; human knot; dream catches; friendship bands; coloured corners; piñata making.

Excursion – Jump Central $77.80Unit 2, 117 Cochranes Rd, MoorabbinDepart: 9.30am Return: 3.30pm Jumping into Grand Final week at Jump Central, always a crowd favourite.

Excursion – Chinese Museum & Birrarung Marr $89.0022 Cohen Pl, Melbourne & Batman Ave, MelbourneDepart: 8.45am Return: 4.00pmHeads down thumbs up; charcoal drawings.

Excursion – Super Zu $89.00362-364 Boundary Rd, DingleyDepart: 8.45am Return: 2.00pmObstacle course; coloured corners; don’t fall down twister.

Excursion – Sovereign Hill $93.00Bradshaw St, BallaratDepart: 8.15am Return: 4.30pmGraffiti wall; egg drop.

In House Day – Jumper/Jersey Day $62.80Wear your favourite team’s uniform – this can be for footy, basketball, netball, cricket or anything else you follow and support.

Excursion – Eastern Gymnastics $89.0021 Clarice Rd, Box Hill SouthDepart: 8.45am Return: 4.00pmWatercolour painting; dodgeball; playground obstacle course.

Workshop – Japanese Drumming $78.00Rice paper rolls; making fans; dress-up if you want – Japanese dress-up; Pokemons.

Excursion – Bayside Rock Climbing $89.009 Network Dr, Carrum DownsDepart: 8.45am Return: 1.00pm Red letter; Flash flood; pop the piñata.

Excursion – Ian Potter Children’s Garden $77.80Royal Botanic Gardens, Birdwood Ave, MelbourneDepart: 9.30am Return: 3.30pm “50 things for kids to do” – do you think you can mark off all 50 things to do in this amazing garden?

Workshop – Circus Ready Set Go $78.00Uno challenge; fruit kebabs with Milo.

Workshop - Wild Action $80.00Rice paper rolls; movies and popcorn.

Workshop - Circus Ready Set Go $87.00Wear your footy colours; footy games; the biggest fan; handball; sausage sizzle.

Public Holiday No Program Public Holiday No Program Public Holiday No Program Public Holiday No Program

Excursion – Eastern Gymnastics $77.8021 Clarice Road, Box HillDepart: 9.30am Return: 3.30pm Energy filled day at Gymnastics – this is proving to be super popular.

In House Day – Musical Statues $62.90Make pizza; making slime; wink detective; make your own pompoms.

In House Day – PJ Day $62.90

Come dressed in your PJ’s; kinetic sand; finger knitting; God’s eyes; pizza; numbered corner.

In House Day $62.90

Candle making; scratch art; scones; red letter; kids café & lets cook; making scones.

In House Day – Arts n Crafts Creation Day $62.90Get your creative hats on with us. We will be creating masterpieces so please bring old clothes and/or an art smock.

Excursion – Werribee Zoo $92.00K Road, Werribee SouthDepart: 8.45am Return: 4.00pmSilent ball; red letter.

Excursion – Ballam Park $81.00Unit 1/260R Cranbourne Rd, FrankstonDepart: 8.45am Return: 3.00pmSack race; coloured corners.

Excursion – Walley Tew Reserve $85.006 Lyndale Ct, Ferntree Gully Depart: 8.45am Return: 4.00pmMoorabbin has got talent.

Excursion – The Big Goose Farm $77.80233 Mornington-Tyabb Rd, MoorooducDepart: 9.30am Return: 3.30pm Pat and feed the animals at The Big Goose and come and watch the animal shows.

Excursion – Bowling & Laser Tag $86.001866 Princes Hwy, ClaytonDepart: 8.45am Return: 1.00pmKnock out challenge; hama beads; fruit salad.

Workshop – Duck Cameron Australia’s Master Magician $78.00Sticky musical statues; sticky musical game; animal statues; music notes; making cookies.

Excursion – Rush HQ $86.0039S Corporate Ave, RowvilleDepart: 8.45am Return: 1.00pmMaking slime; silent ball; dodgeball.

Workshop – Flying Doctors $76.80Starts: 11.00amFlying doctors are coming to show us how they do their amazing job. This incursion has come highly recommended.

Excursion – Luna Park $87.0018 Lower Esplanade, St KildaDepart: 8.45am Return: 4.00pmSleeping lions; finger knitting.

Excursion – Luna Park $87.0018 Lower Esplanade, St KildaDepart: 8.45am Return: 4.00pmMarble painting; salad spinner painting.

Excursion – Luna Park $87.0018 Lower Esplanade, St KildaDepart: 8.45am Return: 4.00pmHama beads; chalk drawing.

Workshop – AFL Victoria $76.80Starts: 11.00amWhat a two weeks, and . . . It’s not finished yet! AFL Victoria are coming to see us for a clinic.

Workshop – Duck Cameron Australia’s Master Magician $78.00Marble painting; make your own ninja gingerbread; movie and popcorn.

In House Day – Celebrate 20 Years at Dingley Primary School $79.00

Jumping castle and face painting; party food; hama beads; lanterns; group games.

Workshop – Dinosaur Diggers $84.00Afternoon movie and popcorn; card towers; Chinese whispers.

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

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

LATE BOOKINGSAll enrolments received after 5pm Friday 15 September will be classified as a Late Enrolment and will incur an administration fee of $39.30.

Late pick up fees are $20.00 per 15 minutes or part thereof.

HOW TO BOOKEnrolments open: 9am Monday 28 August Enrolments close: 5pm Friday 15 September

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: City of Kingston School Holiday Program PO Box 1000 Mentone VIC 3194

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

By fax: to 9581 4848

Bookings are not accepted at any School Holiday Program venue.

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

CHILD CARE BENEFIT / 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 1 September to allow time to apply for support funding.

Children with additional needs attending Aspendale (Mill Street) are required to submit forms by 5pm Wednesday 6 September. 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 8.30am on excursion days, unless instructed otherwise by educators to ensure they are accounted for, prepared and ready to go by the departure time.

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

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

WORKSHOPS & EXCURSIONS

If attending an excursion, participation is compulsory.

WHAT TO BRING

• Hat, water bottle, lunch, drink, snacks (in line with anaphylaxis and heallthy eating policies)

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

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 Johnstone 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

NDIS funding for Mill Street Aspendale (MOIRA) familiesDo you currently have an Individual Support Package(ISP)? yes no

If yes, are you planning on transitioning your ISP to the NDIS earlier than April 2018? yes no

Have you been contacted by the NDIA for a planning meeting? yes no

Do you currently have or are expected to receive an NDIS Plan shortly? yes no

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.

The Big Goose Farm $77.80

Date: Wednesday 4 October 2017

Destination: 233 Mornington-Tyabb Rd, Moorooduc

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

Jump Central $77.80

Date: Tuesday 26 September 2017

Destination: Unit 2, 117 Cochranes Rd, Moorabbin


Transport: Bus



Ian Potter Children’s Garden $77.80

Date: Thursday 28 September 2017

Destination: Royal Botanic Gardens, Birdwood Ave, Melbourne


Transport: Bus



Eastern Gymnastics $77.80

Date: Monday 2 October 2017

Destination: 21 Clarice Rd, Box Hill


Transport: Bus



25 September – 6 October 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

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* Please be aware that while all activities each day will go ahead as planned, no child will be forced to participate in any one activity. All children are given the option as to whether they would like to participate in an activity and also given the opportunity to give ideas and suggestions on what they would like to do with their time, the program is after all here for the children, and as every child is different, they have different interests. We will always make it our second priority, behind safety, to satisfy the needs and interests of the children in the program. PLEASE ALSO NOTE THAT CHILDREN ARE REQUIRED AT THE SERVICE BEFORE 9AM ON EXCURSION DAYS.

form


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:

Child 4 full name:





Signed: Date:


% Excursion times are (unless specified otherwise) Tues 8.30am - 3.00pm Thur 8.30am - 4.00pm



Luna Park $87.00

Date: Thursday 5 October 2017

Destination: 18 Lower Esplanade, St Kilda


Transport: Bus


Educator to Child Ratio: 1 : 15unless otherwise specified

Child 1

Child 2

Child 3

Child 4

Child 1

Child 2

Child 3

Child 4

Child 1

Child 2

Child 3

Child 4

Super Zu $89.00


Destination: 362-364 Boundary Rd, Dingley


Transport: Bus



Ballam Park $81.00

Date: Tuesday 3 October 2017

Destination: Unit 1/260R Cranbourne Rd, Frankston


Transport: Bus



Parent initialParent initial

Parent initial

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form


Moorabbin

B


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 8.30am - 4.00pm Wed 8.30am - 1.00pm Thur 8.30am - 4.00pm



Luna Park $87.00

Date: Thursday 5 October 2017Destination: 18 Lower Esplanade, St KildaDepart: 8.45am Return: 4.00pmTransport: BusPlaces available: 60Educator to Child Ratio: 1 : 15unless otherwise specified

Sovereign Hill $93.00

Date: Tuesday 26 September 2017Destination: Bradshaw St, BallaratDepart: 8.15am Return: 4.30pmTransport: BusPlaces available: 60Educator to Child Ratio: 1 : 15unless otherwise specified

Bayside Rock Climbing $89.00

Date: Wednesday 27 September 2017Destination: 9 Network Dr, Carrum DownsDepart: 8.45am Return: 1.00pmTransport: BusPlaces available: 60Educator to Child Ratio: 1 : 15unless otherwise specified

Walley Tew Reserve $85.00

Date: Tuesday 3 October 2017Destination: 6 Lyndale Ct, Ferntree GullyDepart: 8.45am Return: 4.00pmTransport: BusPlaces available: 60Educator to Child Ratio: 1 : 15unless otherwise specified

Rush HQ $86.00

Date: Wednesday 4 October 2017Destination: 39S Corporate Ave, RowvilleDepart: 8.45am Return: 1.00pmTransport: BusPlaces available: 60Educator to Child Ratio: 1 : 15unless otherwise specified



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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

EXCURSION PERMISSION - MOORABBIN

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 - PAGE 1


Bonbeach

B


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 8.30am - 4.00pm Wed 8.45am - 1.00pm Thur 8.30am - 4.00pm



Child 1

Child 2

Child 3

Child 4

Bowling & Laser Tag $86.00

Date: Wednesday 4 October 2017

Destination: 1866 Princes Hwy, Clayton


Transport: Bus



Chinese Museum & Birrarung Marr $89.00


Destination: 22 Cohen Pl, Melbourne & Batman Ave, Melbourne


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

Eastern Gymnastics $89.00

Date: Wednesday 27 September 2017

Destination: 21 Clarice Rd, Box Hill


Transport: Bus



Werribee Zoo $92.00

Date: Tuesday 3 October 2017

Destination: K Road, Werribee South


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




Signed: Date:

EXCURSION PERMISSION - BONBEACH - PAGE 2

Please tick and sign.

Luna Park $87.00

Date: Thursday 5 October 2017

Destination: 18 Lower Esplanade, St Kilda


Transport: Bus



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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

SEPTEMBER OCTOBER

TOTAL DAYS

MON 25

TUES26

WED 27

THUR 28

FRI 29

MON 2

TUES 3

WED 4

THUR 5

FRI 6

Mill St Aspendale Yarrabah School Public

Holiday No Program

Bonbeach Primary SchoolPublic

Holiday No Program

Dingley Primary SchoolPublic

Holiday No Program

Moorabbin Primary SchoolPublic

Holiday No Program

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 - SEPTEMBER/OCTOBER 2017

C Booking + PaymentSchool Holiday Program: 25 September – 6 October 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

NDIS funding for Mill Street Aspendale (MOIRA) familiesDo you currently have an Individual Support Package(ISP)? yes no

If yes, are you planning on transitioning your ISP to the NDIS earlier than April 2018? yes no

Have you been contacted by the NDIA for a planning meeting? yes no

Do you currently have or are expected to receive an NDIS Plan shortly? yes no

Documents

Monday’August’21,’2017’ - kingston.vic.gov.au · Monday’August’21,’2017 ... % Great for working parents Join the epic fun ... fruit salad. Master Magician $78.00 Sticky