Vacation Care Form

Attention Parents –
Vacation Care cut-off date &
late booking fee.
Due to the large number of parents who were dropping
their children off without booking in prior to the start of
Vacation Care, we have now found it necessary to
implement a strict cut-off date for bookings as at:
Monday 21st June 2015
We have strict excursion and incursion child attendance
numbers confirmed with our activity providers by
Monday 21st June, and will only be able to accept
children who have been formally booked in.
We cannot guarantee a placement for any child
booked in after the above date which may result in
your choice of day being full.
Late bookings after the cut-off date will attract a
“Late Booking Fee” of $5 per child per each day of
attendance required, in addition to the regular daily fee.
Any changes made to bookings after the cut-off date will
be made on a case-by-case basis by Head Office,
dependent on the number of children already booked in
for that day. This will incur a $2 re-booking fee per child.
We appreciate your understanding in this matter and
hope your child/ren enjoy the planned activities.
OOSH NORTHERN BEACHES
Vacation Care Program
July 2015
OPERATING HOURS
Open from 7.00am to 6.00pm
NOTE: On excursion and incursion days, child/ren should be at the centre by no later than 8.45am.
Please advise if your child/ren require collection earlier than 3.30pm on any day.
Week 1: Monday 29th June to Friday 3rd July 2015
Week 2: Monday 5th July 2015 to Friday 10th July
Week 3: Pupil Free Day - Please see note at end of program for forms and dates for your school
Location and
address
Narraweena (St Johns Catholic School) – 166 Alfred Street, Narraweena
(entry from Waratah Pde–walk down the pathway to the left of the church)
Kids Club
Phone:
Head Office
Phone
Contact:
0430 074 015
Ph: 02 9984 8089
Web Page:
CCB
Fax: 02 9981 2745
Visit our web page www.ooshnb.com.au
To receive the childcare rebate, new families need to be CCB accessed.
Email:
[email protected]
Important Note on CCB - Kids Club Vacation Care Provider Number:To receive the 50% Child Care Rebate and Child Care Benefit (CCB) families with a CCB rate must
be CCB assessed by ringing FAO (136150). Existing families who have used our service previously
and have a current CRN do not need to worry.
This is a parent’s responsibility to then advise us.
Skater HQ
Water Fun Day
HAVE YOU VISITED OUR WEBSITE YET? www.ooshnb.com.au
Vacation Care Information and Conditions
(Important - please read thoroughly)
Fees & Closing date:
The cost per day is calculated according to the daily excursion and activities. For new families there is an
annual OOSH Northern Beaches registration fee of $35.00 / family. This will register families to include
future vacation care and before & after school care services for 2015. Due to the Vacation Care program
being full on several days, full payment or a payment option selected must accompany this booking
form and be received by Monday 21st June, otherwise you will incur the Late Booking Fee or miss
out on a space for your child.
If payment or a payment option is received then you are guaranteed a place and families do not need to
receive a booking confirmation.
Refunds:
No refunds will be given for absent days. Please contact the centre by 9.00am should your child not be
attending on any day. There will be no refunds for sickness, suspension and inability to attend.
Authorised Collectors:
Emergency contacts are also authorised collectors, however they will need to provide staff with your
nominated password (provided on booking form) before allowing them to leave with your child/ren.
Sickness:
We regret that we are unable to care for sick children. Prescription medication will be administered to
child/ren by staff only under written authorisation from parents/guardians. Please do NOT let your child
administer medicines themselves.
What to bring:
 Clothing (to get messy/dirty)– Hats and Jumpers that are clearly marked
 Sunscreen should be applied to your child every day before dropping them to Vacation Care.
Sunscreen may be reapplied during the day by staff as deemed necessary, please indicate if you do
not wish this to occur.
 Shoes: closed-in shoes MUST be worn at all times. Bowling & outdoor activities require closed-in
shoes/socks.
 Water bottle and Food: Children are to bring enough food and drink for morning tea and lunch.
Afternoon tea is provided unless we are advised your child has any special dietary requirements.
Please ensure lunches will not spoil in the warmer days (include an ice pack for example). If your
child requires additional food, please include this in their lunchbox.
 Medication: If your child requires any medication (epi pen, asthma puffer or any other) please make
sure that this is handed directly to staff at the beginning of the holidays or alternatively each day
your child attends. This is the parents responsibility and we are unable to accept your child
without it.
 PLEASE NOTE NO VALUABLES. Money is not the carers responsibility so please make sure
your child has a safe place to keep their money & they know how much they have been given.
Excursion information
All excursions will begin and end at the centre. No child/ren are to be taken to the excursion site or picked
up from the excursion site.
On excursion days we usually leave the centre between 8.30am and 9.00am. Please ensure your child is
at the centre by 8.45am for a briefing session. Should your child not be present by 8.45am they may miss
out on the excursion for the day (a sign will be posted on the door advising the bus has left). We usually
return between 3.30pm and 4:00pm. Should you wish your child returned prior to 3.30pm please let the
staff know the time you wish your child to return and we will attempt to satisfy this request. Buses used for
excursions are driven by a hired bus driver from the supplying bus company with full insurance.
Incursion information
Children are updated on the rules of travel and behavioural code expected on excursions prior to leaving
the centre. We do walk the children the short distance to & from some excursions and this is supervised by
our staff, who wear reflective traffic vests. Children are briefed on road rules & safety rules and appropriate
behaviour whilst in high traffic environments. However every effort is made to avoid busy areas.
St. Johns First Aid recommended first aid kits and asthma kits are taken to all excursions and at least one
member of staff holds a senior 1st aid certificate. Any medication that has been signed in by a parent will be
included in our 1st aid kit.
All staff take excursions very seriously and we have strict guidelines in place. Senior staff members are
more than happy to talk you through our excursion procedures at any time.
Stay sun smart!
It is very important that your children are sun protected.
Please make sure that a hat is brought in to wear and sunscreen is applied in the morning.
(Staff will reapply when deemed necessary throughout the day).
Activities/clothing:
Each day apart from the scheduled program, there is sport, games, art & craft experiences provided.
Children may bring Board Games & DVD’s at their own risk. Any electronics are not encouraged at the
centre and will have time limits applied. On in-centre days, morning tea is at approx. 10.15am & lunch is at
approx. 12.30pm. We attempt to have afternoon tea at approx. 3.30pm – 4.00pm, but this is usually
prepared by the children so the time may vary slightly (and dependent on the return time from an excursion).
Children are to wear clothing appropriate to the daily activities and all belongings should be collected when
the children are signed out each day, we cannot take responsibility for clothing left behind each day. Any
clothing left at the end of vacation care will be taken to St Vincent De Paul.
Behaviour:
Disruptive and aggressive behaviour will be dealt with by the staff following the centre’s behaviour
management strategies. A report card will be submitted to Head office following disruptive behaviour. Three
(3) Report Cards throughout the duration of a full year of vacation care will result in a meeting with the family
and Licensee to discuss the suitability of this centre for your child and their attendance.
Nuts:
Due to increased numbers of children with life threatening allergies to peanuts, we will not allow any peanut
butter or nuts to vacation care. If a child consumes peanut butter for breakfast, please wash hands/mouth
thoroughly before arriving at the centre. We request your co-operation in this matter.
General Information:
At kids club we are able to offer lounges for relaxation or watching a movie quietly, outside tennis, soccer,
handball, netball or basketball and use of the entire school’s play area and play equipment structure, fully
stocked sports equipment, a designated craft area and craft supplies in abundance.
Afternoon tea:
Afternoon Tea is provided during Vacation Care. This is a snack only and is usually served between 3.30pm
and 4.00pm depending on each day’s activities. All of our afternoons are from our healthy eating menu and
afternoon tea snacks include; cheese & crackers, sandwiches, lean beef burgers, homemade pizza, pasta,
vegetables, milkshakes/smoothies and fruit. If your child needs more than a snack in the afternoon, please
provide them with a little more food than usual.
OOSH Northern Beaches Fast Fact!
Did you know that our Vacation Care has become so popular due to the
fantastic program, we are close to full on most days.
Book in as early as possible, as certain days will fill quickly.
Visit www.ooshnb.com.au for more info!
Week 1 July 2015
Monday 29th June
Tuesday 30th June
Wednesday 1st July
Thursday 2nd July
Friday 3rd July
Incursion
Excursion
In-House
Incursion
Excursion
The Upside Down
Artist
FX Zone Sports
Centre
Winter
Wonderland
Crazy Scientist
Macquarie Ice Rink
Hands down, this is
the best artist
around town and
we will get to make
our own upside
down artwork.
We are going to
bounce and flip off
the walls, and
dance under the
disco balls at FX
Zone Sports Centre
& Trampoline Park!
Rug up and keep
warm with a day of
Winter craft,
cooking and our
own Winter
Olympics.
The Crazy Scientist
is back with his new
workshop “Crazy
Dinosaurs”.
Discover claws,
teeth, skulls & even
poo!
Put ya skates on!
We’re going ice
skating! Learn to
skate or show us
your skills as you
glide around the
rink.
Creative Minds
Needed.
Stretching
required! Waiver
form to be signed
prior to attending
Winter Adventures
to be had.
The biggest fossil
collection around
town!
Brrr… Rug up as it
will be icy there.
Tacos & Fresh Fruit
Party Pies & Sausage
Rolls & fresh Fruit
Afternoon Tea
Spaghetti
Bolognaise & Fresh
Fruit
Crumpets & Pikelets
& Fresh Fruit
Soup & Toast & Fresh
Fruit
Week 2 July 2015
Monday 6th July
Tuesday 7th July
Wednesday 8th
July
Thursday 9th July
Friday 10th July
Excursion
In House
Incursion
Excursion
Incursion
IMAX &
Tumbalong Park
Drive In Movies
Trash Percussion
Reptile Park
Hip Hop Dance
Enjoy a 3D
experience unlike
anything else
watching the movie
“INSIDE OUT” at the
IMAX. We will then
head to the park for
a play.
“Tuesday at the
movies, what
picture will we see”
Come to our very
own drive in movie
day where we are
going to make our
own cars, food to
eat and watch
some great movies.
This workshop is
going to be an
exciting, vibrant
and all-inclusive
style of percussion
designed with the
view that anything
and everything can
be a musical
instrument.
Today at the Reptile
Park we will see
loads of animals,
exciting wildlife
shows, meet Elvis –
the crankiest croc in
oz and even walk
with Hugo – the
giant Galapagos
tortoise!
Miss Kylie from Plie
Groove n Shuffle is
back to teach us
some funky new
moves in this 2
hour fun filled and
energetic Hip Hop
workshop.
Wear your walking
shoes.
Wear your Pj’s
and bring a
sleeping bag if
you can.
Bring your
rhythm & beat.
We are going to be
hands on in this
park.
“Dancin Shoes is a
must”.
Toasties & Fresh
Fruit
Pastry Twists &
Fresh Fruit
Afternoon Tea
Flavoured Rice
Cakes & Fresh Fruit
Hot Dogs & Fresh
Fruit
Pizza Wraps &
Fresh Fruit
PFD 13th July
Term 3 Week 1 – Normal School
Monday 13th July
All Public School students return to school on
Tuesday 14th July 2015.
Incursion
Magic Workshop
A workshop jam packed with
confidence building magic
tricks and our own show bag to
take home.
How tricky can you be?
Afternoon Tea
Frogs in a Pond & Fresh Fruit
St John’s Catholic School students return to
school Tuesday 14th July 2015
St Kevin’s Catholic School students return to
school on Monday 13th July 2015.
Have you checked your Before and After
School Care booking form is up to date?
Please email [email protected] with
your term 3 form.
Pupil Free Day for all Schools will be held at St John’s Kids
Club Narraweena.
This is within the grounds of St John’s Catholic School behind
St John’s Catholic Church Narraweena
Please enter off Waratah Parade
St John’s Catholic
Church
St Johns Kids
Club
Vacation Care &
Pupil Free day
BOOKING FORM for Vacation Care (to include the Permission Form)
All pages either Email to [email protected] or Fax to: 9981 2745 with full payment or a payment option by:
Monday 21st June 2015. Forms/bookings will not be accepted if all details on this page are not filled in.
Family Details
Mothers Name:
Date of Birth:
Home / Mobile No:
Address::
Fathers Name
Date of Birth::
Home / Mobile No:
Address:
Wk Ph:
Wk Ph:
Main email address:
Emergency Contacts: (Must also be authorised collectors with a password or photo ID must be produced) Password: _______________
Contact Name
Relationship to Child/ren
Home / Mobile Phone:
Work Phone:
Medical / Health Details
Does your child/ren have any medical conditions or dietry restrictions? (e.g. Diabetes, Asthma/Allergies) Please indicate:
Yes 
Doctors name / Phone no: ____________________________________ Is your child immunised?
No
Childrens Details – If only 1 child attending each day please Indicate either child A or B.
Child/ren’s Name
Date of Birth
CRN (CCB)
School Child attends
A
2.(B)
1.( )
Days attending: Please indicate which child will be attending each day by circling A and/or B. Permission form over
the page must be filled in. Cost is as below per day per child less any CCB – which will automatically be deducted.
Week 1
29th June to 3rd July
Days
Week 2
6th July to 10th July
Friday
B
@ $55 Full – No spaces left
Full – No spaces left A
B
@ $45
A
B
@ $45
A
B
@ $55
Full – No spaces left Full – No spaces left
A
B
@ $55
A
B
@ $55
Total
$
Week 3
Pupil Free Day only 13th July
A
Monday
Tuesday
Wednesday
Thursday
$
A
B
@ $55
Normal School day
$
To receive CCB or 50% childcare rebate, the following information is required for new families:
Parent nominating as receiving CCB is Mum / Dad (please circle) and their
DOB is
/
/
(required) Family CRN _________________________________
Do you have any other child/ren in another form of childcare
_______
Yes / No
How many?
Total Fee Enclosed
(For any new families, the
2015 Registration fee
of $35 will be added
automatically)
$
Declaration & Indemnity: I hereby consent to ________________________________________ (child/ren’s name) attending OOSH Northern Beaches
(ABN 98 399 800 352) Kids Club Vacation Care. I have read the information and conditions and I agree to abide by them. I give permission for my child
to attend any excursions/incursions programmed on the days they are enrolled. I acknowledge that G & PG rated movies may be shown at the centre or
cinema. I acknowledge that my child will be exposed to all normal risks associated with participation in the program. I hereby indemnify OOSH Northern
Beaches, the Centre’s Licensee Mr. Chris Hegarty, officers, staff and agents, against all claims, demands, actions and liabilities and any responsibility
for any accident, loss or injury suffered by my child/ren of any kind arising (other than wilful negligence) in the course of my child’s/children’s attendance.
Should at any time OOSH Northern Beaches, its officers, servants or agents consider that my child/ren requires ambulance, medical, dental or hospital
assistance, I consent to your obtaining same at my expense. I agree that I will pay all fees and charges and abide by the Policy Document of the Centre
& its terms and conditions as varied from time to time and available on request. I have notified all people named on this form as required by the Privacy
Act 1998, which came into force in April 2001.I give permission for my child/ren to have their photograph taken & displayed at the Kids Club centre, in
the Vacation Care brochure or on the company website
Signed: (Parent/Guardian) _______________________ Name in Full _______________________ Date ____/____/____
Permission Form and Payment Options
Email: [email protected] or Fax: 9981 2745
TO: Keryn
FROM:
Date:
RE: Vacation Care Permission and Payment form July 2015
EXCURSION AND OTHER PERMISSION FORMS
I_________________________ hereby give permission for my child/ren, ________________________
& _______________________to attend the excursion(s) and incursions. On occasion students may also be
walking to various excursions (ie: Park Picnic) with staff members. Tick the boxes child/ren are attending.
 Incursions (where necessary)

Imax &Tumbalong Park

 FX Zone Sports Centre

Reptile Park

Macquarie Ice Rink
 I have read and accept all of the above information within the program
 I have read and signed the waiver form for FX Sports Centre (Tuesday 30th June 2015, if applicable).
 I have read and signed the waiver form for The Crazy Scientist (Thursday 2nd July 2015, if applicable).
signed: ____________________ Name in Full ______________________ Date _____/_____/____
(Parent/Guardian)
Payment Option:
I wish to pay via the following option: Please tick a payment option: -1 I wish to pay the full amount now, via credit card (please complete No 1 below)
 - 2 I wish to pay using my existing direct debit authority (please read No 2 below)
1
Credit Card Authorisation
Please charge my credit card the total amount of $____________ (less any CCB which I may be entitled to)
Card: Visa
MasterCard
Card Number: ___ ___ ___ ___ / ___ ___ ___ ___ / ___ ___ ___ ___ / ___ ___ ___ __ Expiry Date: ___ ___ / ___ ___
Cardholder Name:
_______________________________ Signature: _________________________ Date __ __ / __ __ / __ __
I authorise a variance to the above fee of up to $ 20 (plus or minus) to cover any small credit or outstanding fee that is on my account or a change to my
CCB rate which may be applicable at the time.
2
Direct Debit
Please use my existing direct debit authority as per my Before and After school care Direct Debit Authority,
which will continue to be charged fortnightly on a Tuesday, based on a “end of the current week plus the week
before”.
All direct debits for Vacation Care will occur on Tuesday 7th July (Week 2 of vacation care)
3
On Line Transfer Information:
Should you wish to transfer the fees online please call Head Office on 9984 8089 to discuss. If you are
transferring online the total amount will need to be paid.
FX ZONE SPORTS CENTRE & TRAMPOLINE PARK - Waiver, Release and Indemnification
Agreement
PLEASE READ CAREFULLY. BY SIGNING, YOU ARE ASSUMING RISK OF SERIOUS INJURY OR
DEATH AND MAY BE GIVING UP IMPORTANT LEGAL RIGHTS.
In consideration for being allowed to enter the and/or participate in any activity and/or program (collectively
the “Activities”), at HIT & BOUNCE PTY LTD trading as FX Zone Sports Centre & Trampoline Park
ABN 66 158 337 690 (hereby known as “FX Zone”), I the undersigned, hereby acknowledge, agree and
represent each of the following, on behalf myself and, if applicable, on behalf of any person under the age of
18 for whom I am a parent or guardian (each a “Minor(s)"):
1. I acknowledge and understand that there are inherent risks associated with participation in the Activities
at FX Zone, from using trampolines and sporting equipment, and being in close proximity to those
engaged in such Activities, including, without limitation, to scrapes, bruises, cuts, and even more serious
injuries, such as paralysis or death, and I fully accept and agree to assume all of these risks including
risks arising from the negligence of other participants.
2. I and or the Minor(s) are or am voluntarily participating in the Activities including, but not limited to, the
use of equipment, facilities, car park and premises.
3. I and or the Minor(s), knowingly and fully assume all risks, associated with participation in the Activities
including personal injury, death or disability to me and/or the Minor(s), and waive all claims for damage
from all risks associated with participation in the Activities, including risks arising from the
negligence of other participants.
4. I understand that the Activities are not a ride or entertainment but rather a physical activity that exposes
me and or the Minor(s) to the risks inherent with strenuous physical exertion and stress to which I and/or
the Minor(s) will be exposed, and that it may include the risk of bodily injury or death.
5. I have answered the health check for myself and each of the Minor(s), in applicable and each of the
following statements is true and complete, and will remain true and completed, at all times when
participating in the Activities:
a. Neither the Minor(s) nor I have a history of neck, back or heart problems.
b. Neither the Minor(s) and/nor I weigh more than 120 kg. Each jumping mat has a bearing capacity of
120 kg.
c. Neither the Minor(s) nor I have suffered a shoulder dislocation in the past.
d. Neither the Minor(s) nor I is pregnant.
6. I confirm that the answers provided in this form are true and correct and that FX Zone has relied on my
answers in allowing me and or the Minor(s) (if applicable) to participate in the Activities.
7. To the extent that the statements in 5a, 5b, and 5c are not true and correct I will inform the receptionist
at the premises. I understand and accept that any of the circumstances listed in 5 may increase the risk of
injury, disability or death that might result from participation in the Activities and by participating in the
Activities I or the Minor(s) accept those risks.
8. I assume all risk of any damage, loss or theft of any personal property that the Minor(s) or I may suffer on
the premises including from any locker or safe custody location.
9. I will and I will ensure that the Minor(s) follow all the safety rules of FX Zone.
10. I and/or the Minor(s) accept that FX Zone may, in its absolute and unfettered discretion refuse my and/or
the Minor(s) participation in the Activities and or expulsion from the premises.
11. I am/the Minor(s) is, fit to undertake the Activities. Neither I nor any of the Minor(s) (if applicable) suffers
from any medical, physical or psychological conditions or is affected by any drugs or alcohol, nor has been
advised of any condition by a qualified medical professional that may prevent or restrict me and/or the
Minor(s) from participating in the Activities.
12. I represent and warrant that I am over the age of 18 and have the capacity to agree to this release and
waiver. Where I am signing on behalf of a Minor(s) I represent and warrant that I am authorised to do so.
13. To the extent permitted by law, including the Competition and Consumer Act 2010, I agree on behalf of
myself and/or the Minor(s) and my/their personal representatives, successors, heirs, and assigns to hold
FX Zone, its owners, related entities, officers, directors, agents, instructors, employees, and members, as
well the property owner and tenants of the property and the owners, sellers, manufacturers and installers
of the equipment used in connection with the Activities (collectively, the 'Releasees') harmless from any
and all claims or causes of action arising out of my and/or the Minor(s) participation in the Activities.
14. To the extent permitted by law, including the Competition and Consumer Act 2010, I expressly release
and discharge the Releasees from any and all liability, claims, demands or causes of action whatsoever
arising out of any damage, loss, personal injury or death to me and/or the Minor(s), while participating in
any of the Activities, including without limitation, use of the trampolines, Bubble Soccer, pitching, bating
and or jumping, receiving instruction, strenuous bodily movement, exposure to extreme conditions, and
contact with equipment or machine parts thereof. To the extent permitted by law, this release is valid and
effective whether the damage, loss (physical or economic) or death is a result of any act or omission
(INCLUDING WITHOUT LIMITATION NEGLIGENCE, GROSS NEGLIGENCE, OR STRICT LIABILITY) on the part
of any of Releasees or from any other cause. To the extent permitted by law, this Waiver and Release of
all liability includes, without limitation, injuries, illness, or accidents, which may occur as a result of:
a. use of the facility or its improper maintenance,
b. use of any equipment which may malfunction or break,
c. improper maintenance of any equipment,
d. instruction or supervision, or
e. slipping and falling while in the facility or on the surrounding premises.
15. I acknowledge that I have carefully read this waiver and release, have had the opportunity to obtain
advice in relation to the waiver and release, and fully understand that, to the extent permitted by law
(including the Competition and Consumer Act 2010) it is a release of all liability and a waiver of any right
that I may have on behalf of myself and/or the Minor(s) to bring a legal action or assert a claim for injury
or loss of any kind against any of the Releasees.
16. I hereby consent to allow the use of voice, video, image or likeness in photographs and/or video for
myself and/or the Minor(s) for use by FX Zone in connection with exhibitions, publicity, advertising and
promotional materials without reservation or limitation.
17. By signing this form, I give permission for FX Zone to use my email address to advertise products or
promotions related to their company. I also give permission for FX Zone to use my email address to
respond to feedback given about FX Zone.
18. I agree that in the event that any provision in this Release and Waiver of Liability is
unenforceable under applicable law, the remaining provisions shall be enforced to the
fullest lawful extent.
Health Check List for: PARTICIPANT NAME
Do you have a history of neck, back or heart problems?
Does your weight exceed 120 kg?*
Have you ever had a shoulder dislocation?
Are you currently pregnant?*
Age:
Yes
No
* IF you are currently pregnant, or over 120 kg in weight YOU MAY NOT PARTICIPATE IN THE
ACTIVITIES WITHOUT EXPRESS WRITTEN APPOVAL FROM YOUR MEDICAL PRACTITIONER
By signing this form, I agree and understand that this agreement is binding on myself and the Minor(s).
Parent/Guardian Name (please print): ______________________________________________________
Date of Birth: _____ / _____ / ________ Email: ________________________________________________
Signature:_________________________________
Emergency contact (next of kin) Name and phone No.: _____________________________________
Date: _________________________
Participant Name (under 18 y/o)
Date of Birth Participant
For your fridge
(Please remove for your own record)
St John’s Kids Club Narraweena,
behind St John’s Catholic Church
Enter off Waratah Pde,
Locations and
addresses
Narraweena (St John’s Catholic School) – 166 Alfred Street, Narraweena
*****enter from Waratah Pde, behind St. John’s Church *****
Kids Club
Phone:
0430 074 015 (St John’s, Narraweena)
Head Office Ph:
1)
2)
3)
4)
Phone: 02 9984 8089 (head office)
Fax: 02 9981 2745
Web Page:
Visit our web page www.ooshnb.com.au
CCB.
To receive the childcare rebate, new families need to be CCB accessed
Email:
[email protected]
On excursion days and occasional incursion days, children should be at the centre by 8.45am (at the
latest) in preparation for a briefing, final numbering and departure on our bus.
Please contact the centre (see above) by 9.00am if your child is not attending any day.
On every excursion & incursion children must wear enclosed shoes with socks
Our Centre allows for great parking in front of the church. Please do not drive down the driveway or park
on the grass area.
For your own record circle the days your child is attending, same as those on your official booking
sheet and keep this page safe (ie: on the fridge / at work).
Days
Monday
Tuesday
Wednesday
Thursday
Friday
Key:
Week 1
29 June to 3rd July
Week 2
6 July to 10th July
Imax & Tumbalong Park
Inside Out Movie (Excursion)
Week 3
Pupil Free Day only 13th July
FX Zone Sports Centre
(Excursion)
Drive In Movies (In House)
Normal School Day – Yay!
Winter Wonderland (In House)
Trash Percussion (Incursion)
Crazy Scientist (Incursion)
Reptile Park (Excursion)
Macquarie Ice Rink (Excursion)
Hip Hop (Incursion)
Pink = Excursion – be at the
centre by 8.45am
Green = Incursion – Be at the
centre by 9.30am
th
Upside Down Artist (Incursion)
th
Magic workshop (Incursion)
No colour = in house –
activities all day.
All Public School students return to school on Tuesday 14th July.
St Johns Catholic School students return to school Tuesday 14th July 2015
St Kevin’s Catholic School students return to school on Monday 13th July 2015.
Please see our Pupil Free day Form should you need care.
For more information please check your school’s website.
Pupil Free Day Booking Form @ Narraweena only
Open 7.00am – 6.00pm @ $55 for the day
Child 1 Name: ____________________________________ School: ________________________
Child 2 Name: ____________________________________ School: ________________________
Please enrol my child/ren into OOSH Northern Beaches for the nominated Pupil Free Days as below.
Parent Name
________________________ Mobile
____________________
Parent Address
________________________ Work & Home_____________ & _____________
Monday 13th July 2015
Held at St Johns Kids Club Narraweena
St Johns Catholic School
X kids @$55
$
Declaration and Indemnity.
I hereby consent to ___________________________________________________________________ (child/ren’s name) attending
OOSH Northern Beaches Before and After School Care Centre (from now on referred to as St Johns Kids Club). I acknowledge that my
child/children will be exposed to all normal risks associated with participation in activities offered by the St Johns Kids Club.
In consideration of St Johns Kids Club admitting my child/children, I hereby agree that I will indemnify the Cromer Public School, the
OOSH Northern Beaches Before and After School Care Centre (St Johns Kids Club) the Centre’s Licensee Mr. Chris Hegarty, the St
Johns Kids Club’s officers, staff and agents, and keep them indemnified against all claims, demands, actions and liabilities of any kind
arising (other than wilful negligence) in the course of my child’s/children’s attendance.
I authorise the St Johns Kids Club, the Licensee, it’s officers, servants or agents in the event of any emergency, accident or illness, to
obtain such dentist, ambulance, medical and hospital assistance as required, and agree to meet any and all expenses thereby
incurred.
Signed: ________________________________ (Parent/Guardian) Date: __________________
Please circle
Name in full:_____________________________
Payment Option:
I wish to pay via the following option: Please tick a payment option: -1 I wish to pay the full amount now, via credit card (please complete No 1 below)
 - 2 I wish to pay using my existing direct debit authority (please read No 2 below)
1
Credit Card Authorisation
Please charge my credit card the total amount of $____________ (less any CCB which I may be entitled to)
Card: Visa
MasterCard
Card Number: ___ ___ ___ ___ / ___ ___ ___ ___ / ___ ___ ___ ___ / ___ ___ ___ __ Expiry Date: ___ ___ / ___ ___
Cardholder Name:
_______________________________ Signature: _________________________ Date __ __ / __ __ / __ __
I authorise a variance to the above fee of up to $ 20 (plus or minus) to cover any small credit or outstanding fee that is on my account or a change to my
CCB rate which may be applicable at the time.
2
Direct Debit
Please use my existing direct debit authority as per my Before and After school care Direct Debit Authority,
which will continue to be charged fortnightly on a Tuesday, based on a “end of the current week plus the week
before”.
All direct debits for Vacation Care will occur on Tuesday 7th July (Week 2 of vacation care)