Enrolments Due to its success and the need to adequately staff the program, enrolment one week before the program commences is recommended. No enrolments will be accepted on the day.

Where To Go UWA Recreation & Fitness Centre, Car Park 1, 35 Stirling Highway, Crawley. Visitors paid parking is available in front of the centre.

What To Bring Non-marking sandshoes, a hat, a water bottle, morning tea and lunch (and afternoon tea if staying until 5:30pm). Children are not permitted to purchase food or drinks without a parent or guardian present.

Please note: specialist clinics are subject to availability.

Climb to New HeightsIntroducing the portable rock wall; UWA Kids Sports Holiday Programs latest activity! Your child can take on the challenge and conquer new heights with this fantastic and safe feature. The rock wall is run by experienced high ropes instructors and all safety gear is provided.

We have your child care rebate covered*.UWA Kids Sports Holiday Programs are fully covered under the Child Care rebate, no matter how often your child attends.

Receipts are given as requested and sent in the fortnight after the program.

*must be eligible for child care benefits for approved child care.

UWA Kids Sports Holiday Program

UWA SPORT & RECREATION ASSOCIATION

UWA Sport & Recreation AssociationThe University of Western AustraliaM412, 35 Stirling HighwayCrawley WA 6009Tel: +61 8 6488 2286Fax: +61 8 6488 4725Email: us4k@sport.uwa.edu.auwww.sport.uwa.edu.au/kids_sports

EASTER 22 APR - 6 MAY 2013

Please tick your preferred date(s) and finish time(s) in the boxes below. To enrol for a full week, tick the first column only. (only available on weeks that run mon - fri). All days start at 8am.

1.Parent/Carer DetailsName

Phone

Address

Suburb Postcode

Affiliation to UWA Student Staff Alumni Community

Registered Child Care Receipt

Email

2.Emergency Details

Yes No

3.Child DetailsFirst Name

D.O.B M F

3.Payment Details

Week 1

- 1pm

Total Cost

Signature Date

$

I agree not to hold the UWA Sport & Recreation Association (UWA Sports) and/or employees liable for any personal injuries or accidents arising from my child’s/children’s participation in any UWA Sports activity unless the organisation is deemed negligent. I also confer that they are physically and mentally capable to undertake activities in the program. I also understand that my child(ren) may be photographed for use in future Uni Sport 4 Kids promotions. I also agree to allow my child(ren) to watch G or PG rated movies in aftercare.

Costs

- 1pm

- 4pm

- 5:30pm

$43

$49

$53

$193.50

$220.50

$238.50

Daily Weekly

YOU MUST BE THE PARENT OR PRIMARY CARER OF THE CHILD TO COMPLETE THIS FORM..

CCVCard Type VISAMasterCard

Card No.

Expiry

Salary packaging options are available for UWA staff. For other payment options please visit the UWA Recreation & Fitness Centre. Please do not fill out credit card details if submitting this form via email. Enrolments will not be complete until pad in full.

Name

Phone

First Name

First Name

Medical Conditions

- 4pm

- 5:30pm

Week Mon Tue Wed Thu Fri8am -

Week 2

- 1pm

- 4pm

- 5:30pm

Week8am -

Week 3

- 1pm

- 4pm

- 5:30pm

Week8am -

Mon 22 Apr -Fri 26 Apr

Mon 29 Apr -Fri 3 May

Mon 6 May

What are UWA Kids Sports Holiday Programs?UWA Kids Sports Holiday Programs (previously Uni Sport 4 Kids) are a fun and exciting, multi-sport day camp for children aged 5-13 that runs during school holidays. Kids Sports Holiday Programs expose children to many different sports in a friendly, non-competitive environment.

With the focus on participation and having a good time, this program is excellent for introducing kids to new sports and for keeping them active and happy during the school holidays.

Kids Sports Holiday Programs are run by an experienced team of enthusiastic and friendly leaders. All leaders are trained in a variety of sports, and each holds a First Aid Qualification and a Working With Children Check.

Enrol for Easter for your free* UWA Kids Sport t-shirt!Get your kit on with this light-weight, durable UWA Kids Sport t-shirt.

Let us know your child’s shirt size on the form and we’ll have you looking sharp from day 1.

*while stocks last.

Mon Tue Wed Thu Fri

Mon Tue Wed Thu FriShirt Size

D.O.B M F Shirt Size

D.O.B M F Shirt Size