Roseville Kids Care
Autumn Vacation Care Enrolment Form 2015
1 child
$46 / day
2 children
$92 / day
3 children
$135.70 / day
4 children
$177.10 / day
Excursion
Fees
(per child)
Monday
6/4
Tuesday
7/4
$22
Wednesday
8/4
$13
Thursday
9/4
$15
Friday
10/4
Monday
13/4
Tuesday
14/4
$15
Wednesday
15/4
$18
Thursday
16/4
Friday
17/4
$27
Monday
20/4
$22
Total Fees
Total Fees
$
$15 Compulsory RKC Hat (new children only)
$
2015 $40 registration (new families)
$
$100 refundable deposit (new children only)
$
TOTAL PAYMENT
$
All forms must be returned by Friday 27 March 2015
Child/ren
Age
Allergies/Medical Conditions
________________________________________
_________
_________________________________
________________________________________
_________
_________________________________
________________________________________
_________
_________________________________
Parent’s Agreement - I have read the above information and relevant policies and agree to abide by these.
Parents Name
___________________________________
Email Address
__________________________________________________________________________________
Second Contact Name
___________________________________
Signed
____________________________________________________
NB:
Phone/Mobile Number _________________________
Phone/Mobile Number _________________________
Date
__________________
A full 2015 Roseville Kids Care enrolment form and direct debit form must be completed by
all NEW families
Roseville Kids Care
Excursion Authorisation Form
PLEASE SELECT:
I, __________________________________________________, give permission for my child/children ____________________________________________________ to attend
the following excursions and to be transported by Forest Coach Lines charter bus between Roseville Kids Care and the excursion venue (below).
Tick
Date
Tuesday
7/04/15
Thursday
9/04/15
Tuesday
14/04/15
Wednesday
15/04/15
Excursion
Destination &
Description
Approx. Time of
Departure & Return
Anticipated
Ratio
Number
of Staff
Number of
Children
Responsible
Person on
Duty
First Aid
Officer
Visit the Lego Towers
exhibition at the
Museum of Sydney
9:15am – 2:30pm
1:8
6
45
Jenny
Jenny
Walk to Roseville
Public School for a
Laser Warrior battle
11:30am – 2:30pm
1:8
6
45
Jenny
Jenny
9:00am – 3:15pm
1:8
6
45
Jenny
Jenny
9:15am – 3:00pm
1:8
6
45
Jenny
Jenny
A fun filled day at the
Taronga Zoo!
9:15am – 3:30pm
1:5
9
45
Jenny
Jenny
We will learn how to
rock climb at Sydney
Indoor Climbing Gym
8:45am – 3:30pm
1:5
9
45
Jenny
Jenny
We will ride pedal go
karts at Roseville
Public School as well
as our own scooters
We are off to Ku-ringgai Wildflower
Garden to learn about
bush survival skills.
Friday
17/04/15
Monday
20/04/15
Risk assessments have been undertaken for all excursions and can be found in the risk assessment folder on the parent bench.
Signature: ______________________________________
Date: ___________
Nominated Supervisor: ___________________________
Date: _________