1. family and parenting
2. children

YWCA Canberra
School Holiday Program
St Benedicts 5th– 30th January 2015
Parent/Guardians please keep page one of this pack for reference and ensure you do not send
back it with your enrolment.
Location:
Contact:
Hours of Operation:
Hall, Tallara Parkway Narrabundah
6295 3280
8:00am – 6:00pm Monday to Friday (excluding public holidays)
This service is available for children between 5 and 12 years old attending Primary
School.
Welcome to YWCA Canberra
School Holiday Program.
The aim of the School Holiday Program is to offer children a variety of fun, exciting and enjoyable
experiences and activities. The structure of the program is similar each day and allows the flexibility to
accommodate the children’s needs and interests.
The School Holiday Program endeavours to develop the children’s independence, self-help skills and selfesteem. These aims are achieved by allowing the children to make choices and contribute to the activities
offered at the program.
Fees and bookings: Fee is $70.00 per day, bookings and payments are required in advance. This fee
covers morning and afternoon tea, excursions and all in-house activities. Please note our preferred
payment method is Ezi-debit or BPay.
Enrolment forms: All enrolment forms need to be forwarded directly to Child Care Accounts. All families
are required to re-enrol for a position at the school holiday program each holiday’s. Please note positions
are offered on a first in basis. Forms are due in to Child Care Accounts by Friday 19th December, 2014.
If you submit a form after this time you may not be guaranteed a place at the program.
Arrival and departure: It is a legal requirement that children are signed in and out by a family member or
authorised guardian. The attendance sheets are important, as they do not only indicate attendance at the
program, but are used in the case of any emergency procedures, such as fire drills and compliance with
reporting to the Department of Education Employment and Workplace Relations (DEEWR).
If your child is booked into the program and is not attending, please notify staff on the above
contact number.
The program closes at 6:00pm a late fee is incurred for children collected after this time. The fee is $20.00
for every 15 minutes or part there of, this will be added to the next fortnight’s account (this fee will not apply
in the case of any emergency that may arise).
Food: Please supply lunch and a drink each day your child attends. Morning and Afternoon tea is provided
and water is available for the children at all times. Please be aware that due to allergies the school holiday
program is a NUT FREE ZONE. Please indicate on the enrolment form if your child/ren has any specific
dietary requirements.
Hats and clothing: YWCA Canberra’s Child Care Programs are SunSmart services. Children and staff are
required to wear hats and apply sunscreen every day during the months of August through to the end of
May. Children are encouraged to wear comfortable clothing that protects the body from the sun in warmer
weather, and a jumper, jacket and hat during colder weather, please include suitable shoes allowing safe
play.
Medication: If there is any medication that needs to be administered at the program, please complete the
medication form that is available on request.
Family communication: Feedback and input from parents is encouraged and appreciated. Families are
invited to share any skills and areas of interest with the program, please contact staff regarding any
suggestions or feedback you may have. Families are welcome at the program at all times.
Child Care Accounts Office Hours and Contact Information
Hours: 0900 – 1700
Phone: 6175 9922
Fax: 6175 9992
Street Address:
Postal Address:
Email: [email protected]
Level 5 CPA Building
YWCA Canberra
Website: www.ywca-canberra.org.au
161 London Circuit
GPO Box 767
CANBERRA ACT 2601
CANBERRA ACT 2601
1|Page
Forms are due in to Child Care Accounts by Friday 19th December 2014
th
St Benedicts 5 - 30th January 2015
Confidential Details, Child 1
Child Given Name(s):
Date of birth:
Surname:
Gender:
Country of birth:
Male
Female
Year at School (e.g. year 1):
Each child has their own Customer Reference
Number (CRN). For more information contact
DHS on 13 61 50.
Child CRN:
Indigenous origin (please tick relevant box):
Aboriginal
No
Does your child speak a language other than English at home?
Torres Strait Islander
Yes
if yes, please specify:
Yes
if yes, please provide a copy.
Court orders
Are there any court orders, parenting orders or parenting plans in
relation to the child or access to the child?
No
Health
Does your child have any allergies, intolerances or dietary
restriction, e.g. foods, medicine, grass, sunscreen etc.?
No
Yes
if yes, please provide details:
Does your child have any medical conditions? e.g. asthma,
diabetes, epilepsy etc.
No
Yes
if yes, please provide details:
Does your child have a medical action plan?
No
Yes
if yes, please provide a copy.
Has your child been diagnosed as at risk of anaphylaxis?
No
Yes
if yes, please attach anaphylaxis medical plan.
No
Yes
if yes, please provide details & medical plan:
Does your child take any regular medication? e.g. Ventolin, etc.
Has your child been diagnosed or undergoing assessment for any
No
Yes
if yes, please provide details:
areas which may help us in providing an inclusive environment?
e.g. ADHD, Autism, Asperger’s, behaviour etc.
Does your child have a need for additional assistance in any of the following areas?
Learning needs
Communication needs
Mobility needs
Interpersonal needs
Other needs
Confidential Details, Child 2
Child Given Name(s):
Date of birth:
Surname:
Gender:
Country of birth:
Male
Female
Year at School (e.g. year 1):
Each child has their own Customer Reference
Number (CRN). For more information contact
DHS on 13 61 50.
Child CRN:
Indigenous origin (please tick relevant box):
Aboriginal
No
Does your child speak a language other than English at home?
Torres Strait Islander
Yes
if yes, please specify:
Yes
if yes, please provide a copy.
Court orders
Are there any court orders, parenting orders or parenting plans in
relation to the child or access to the child?
No
Health
Does your child have any allergies, intolerances or dietary
restriction, e.g. foods, medicine, grass, sunscreen etc.?
Does your child have any medical conditions? e.g. asthma,
diabetes, epilepsy etc.
No
Yes
if yes, please provide details:
No
Yes
if yes, please provide details:
Does your child have a medical action plan?
No
Yes
if yes, please provide a copy.
Has your child been diagnosed as at risk of anaphylaxis?
No
Yes
if yes, please attach anaphylaxis medical plan.
No
Yes
if yes, please provide details & medical plan:
Does your child take any regular medication? e.g. Ventolin, etc.
Has your child been diagnosed or undergoing assessment for any
No
Yes
if yes, please provide details:
areas which may help us in providing an inclusive environment?
e.g. ADHD, Autism, Aspergers, behaviour etc.
Does your child have a need for additional assistance in any of the following areas?
Learning needs
Communication needs
Mobility needs
Interpersonal needs
Other needs
2|Page
Booking Information (please tick which session your child/ren will be attending the St Benedict’s program)
Week One
5th – 9th Jan
Week Two
12th – 16th Jan
Week Three
19th – 23rd Jan
Week Four
26th – 30th Jan
Monday 5
Tuesday 6
Wednesday 7
Thursday 8
Friday 9
Thursday 15
Friday 16
*
Monday 12
Tuesday 13
Wednesday 14
*
Monday 19
Tuesday 20
Wednesday 21
Thursday 22
Friday 23
*
Monday 26
Tuesday 27
Wednesday 28
P/H
Thursday 29
Friday 30
*
* Excursion/incursion activity organised
*
CCB/CCR Registered Parent/Guardian 1 Details
Relationship to the child(ren)
Mother
Father
Other
Please specify
Are you the parent/guardian registered to claim Childcare benefit (CCB) and/or Childcare
Rebate through the Department of Human Services?
Surname:
First name:
Date of birth:
State:
Working
Looking for work
Studying/training
Employment:
Postcode:
Disability or disabled carer
Occupation:
Email:
Home Phone:
Mobile:
Parent/Guardian 2 Details
Relationship to the Child(ren)
Work Phone:
Mother
Father
Other
Surname:
Please Specify
First name:
Date of birth:
CRN
Mobile:
Address
Work status:
No
CRN
Address:
Work status:
Yes
State:
Working
Looking for work
Studying/training
Employment:
Postcode:
Disability or disabled carer
Occupation:
Accounts:
Name of person responsible for payment of account:
I would like to receive my account by:
Email
Mail
Accounts are emailed/mailed
fortnightly.
Email address for accounts:
Disability Status:
Does your child/ren have a Diagnosed Disability? Yes
No
Description of disability ___________________________________________________________________
_____________________________________________________________________________________
Will your child require additional support?
Yes
No
Please provide a copy of your healthcare card and support plan
3|Page
Family Information:
YWCA Canberra is committed to ensuring our services are accessible and engage diverse groups from within our community and as
such, we invite you to share details of you and your child’s background with us.
Please tick the box if your child/ren is from a culturally and linguistically diverse background ☐
Are there any cultural or religious occasions your family observes? ____________________________________________
Is There anything else you would like to tell us about your child?______________________________________________
Does you child have any interests/hobbies?______________________________________________________________
Authorised Emergency Contacts (must be over 18 years old)
Authorised Emergency Contact is a person who the parent/guardian has given permission to collect the child from an
education and care service, should the parent/guardians be unavailable, in the event of an incident, injury, trauma,
illness, emergency, etc. – At least one authorised Emergency Contact must be provided.
Contact 1 Surname:
First name:
Relationship to child:
Gender:
Mobile phone:
Male
Female
Home phone:
Address:
Suburb:
State:
Postcode:
Work phone:
Contact 2 Surname:
First name:
Relationship to child:
Mobile phone:
Gender:
Male
Female
Home phone:
Address:
Suburb:
State:
Postcode:
Work phone:
I give my permission for the above contacts to collect my child/ren from care should the parent/guardians listed not be
available to collect my child/ren from care.
Parent Signature:
Date:
Medical Information:
I hereby authorise the following medication to be administered to my child/ren (tick the box and initial to consent):
Ventolin in the event of an asthma attack or if my child appears to have difficulty breathing.
Initial ________
The program will endeavour to contact you prior to administering medication and ask you to arrange collection of your
child as per the health policy.
Should my child/ren require urgent medical attention, I give permission for
Yes
No
staff/doctor/ambulance officer to administer such treatment as shall be considered appropriate,
at my expense, subject to any specific restrictions listed here:_________________________
Initial ________
Yes
No
In the case of emergency, I agree for my child/ren to be transported to hospital by ambulance at
my expense.
Initial ________
Yes
No
I have read the exclusions guidelines table in the information booklet and agree to abide by it.
Initial ________
Name of doctor:
Address of doctor:
Suburb:
State:
Phone number:
Medicare number:
Parent signature:
Postcode:
Date:
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Parent/Guardian Authorisations and Conditions of care
I/We _______________________________________ and _______________________________________
(Insert parent/guardian names) agree to the following terms and conditions:
1. I am willing for my child/ren to participate in all activities offered at the School Holiday Program.
Yes
No
2. I agree it is my responsibility to familiarise myself with the program and to advise the staff in writing if I do not wish
my child/ren to participate in a particular activity.
Yes
No
3. I give permission for staff to photograph my child/ren for the purpose of program displays and a means of recording
activities.
Yes
No
4. I give permission for my child/ren to be photographed for YWCA Canberra publications and website. Yes
No
5. Pay all fees and charges before your child attends the program. I/we understand that YWCA Canberra is entitled
to the recovery of outstanding fees plus additional costs incurred to a collection agency for recovery action.
6. Indemnify any person associated with the education and care service in relation to any claim for damages as a
result of an accident, injury or trauma to my child/ren unless it is the direct result of negligence on the behalf of
YWCA Canberra.
7. I/we understand that a late fee of $20.00 per child for every 15 minutes or part thereof will be charged for children
picked up after 1800.
8. I/we understand we will be charged for the days we book, in the event we do not notify Child Care Accounts or the
program.
9. In line with YWCA Canberra’s mission and values (available at www.ywca-canberra.org.au). I/we agree to respect
and show courtesy in all dealings with staff, and families and children within the education and care service. I/we
acknowledge any forms of discriminatory or threatening behaviours are not acceptable.
10. I/we acknowledge that my child/ren attending the program must be signed in and out by a
parent/guardian/authorised contact on arrival and departure to the program,
11. I/we are aware YWCA Canberra Policy and Procedure Manual and YWCA Canberra Children’s Service Manual is
available at the program for me to access at any time.
12. The information I/we have provided on this form is correct, and I/we understand it is out responsibility to update
details should they change.
Parent Guardian 1 signature:
Date:
Parent Guardian 2 signature:
Date:
Child Care Accounts Office Hours and Contact Information
Hours: 0900 – 1700
Phone: 6175 9922
Fax: 6175 9992
Street Address:
Postal Address:
Email: [email protected]
Level 5 CPA Building
YWCA Canberra
Website: www.ywca-canberra.org.au
161 London Circuit
GPO Box 767
CANBERRA ACT 2601
CANBERRA ACT 2601
Forms are due in to Child Care Accounts by Friday 19th December 2014
5|Page
Permission Form for excursions (cost is included in the daily fee)
Date: Wednesday 7th January 2015
I give permission for my child/ren
to attend the following excursion:
To: Hoyts Belconnen, Movie: Big Hero 6
Transport: Deane’s Transport
Departure: Please be at the program by 9.00AM, (departure will be confirmed once movie times are released)
Return: approximately -2pm
Signed:
Date:
Date: Thursday the 15th January 2015
I give permission for my child/ren _____________________________to travel by bus to Turner Holiday Program to
attend Miss Kadinsky Art Performance
Signed:
Date:
Date: Friday the 16th January 2015
I give permission for my child/ren _____________________________to watch a PG Movie at the centre
PG Movie: How to train your dragon 1 and 2
Signed:
Date:
Date: Friday 23rd January 2015
I give permission for my child/ren
to attend the following excursion:
To: John Knight Memorial Park, Australia Day BBQ.
Please bring – Hat and water bottle, a BBQ sausage sizzle will be provided
Signed:
Date:
Date Wednesday 28th January 2015
I give permission for my child/ren
to attend the following excursion:
Dickson Pool (Please be at the program by 9.00am) Level of swimmer Strong Medium
Don’t forget your swimmers, hat, lunch, drink bottle, towel and a change of clothes
Poor
Photography permission
I give permission for my child/ren to be photographed during Holiday Care for the purpose of program displays and a
means of recording activities. Yes
No
I give permission some photos may be used within the YWCA for newsletters, promotional materials and on the
YWCA website.
Yes No
Signature _______________________________________________ Date ______________________
6|Page
YWCA Canberra School Holiday Program
January 5 – January 30, 2015
Majura, St. Benedict’s, Kingsford Smith, Turner*
*Turner 6-23 January ONLY
Monday
5 January
Peculiar People
Crazy Photo booths,
Hats, and Face Paint!
Today the children will
design their own photo
booths, create crazy
hats, and make
homemade face paint
that they can use later
in the afternoon.
We suggest you wear
some old clothes as we
intend to get messy!
Monday
12 January
Horrible Histories!
Join us today as we
delve into our horrible
history! From Rotten
Romans, to Groovy
Greeks! From Vicious
Vikings to Perilous
Pirates and everything
in between!
Afternoon:
Electronics
Tuesday
6 January
Crazy Chemistry
Class
Wednesday
7 January
EXCURSION:
HOYTS BELCONNEN
Fizzle! Bang!
Today the children will
get the chance to
become crazy
chemists. We will
watch as colours
explode and baking
soda fizzles.
At the end of the day
the children will go
home as graduates of
the first Crazy
Chemistry Class!
Dress Up as your
favourite movie
character so we can
attend our excursion in
style!
Please be at the
program by 9am!
Tuesday
13 January
Make your Dreams
come True!
What do you want to
be when you grow up?
An Astronaut? A
Doctor? A Magician?
Let’s Make Your
Dreams Come True for
a Day!
AFTERNOON
INCURSION:
MISS KADINSKY ART
PERFORMANCE
Kingsford Smith
Thursday
8 January
Wet n Wild Bonanza!
Are you prepared for the
most wet and wild event
ever to take place in the
history of the School
Holidays? Bring your
swimming costumes,
towels, and hats and
prepare to spend a day
out in the sun.
Don’t forget a change
of clothes!
Please don’t bring any
‘water guns’.
Don’t forget your hat,
lunch and drink
bottles.
Afternoon: Electronics
Wednesday
14 January
Move to the Music!
Thursday
15 January
Alternative Art!
Today will be filled with
music! We will be
playing all of our
favourite musical games
and don’t forget to bring
your dancing shoes for
our dancing competition
and Disco!!!
From melting crayons to
exploding paint to blow
painting monsters!!!
Today we will be making
the most unusual art!
Don’t be afraid to get
messy!
INCURSION:
MISS KADINSKY ART
PERFORMANCE
AM: Turner and St
Benedict’s
Afternoon: Disco
St Benedict’s travelling to
Turner
PM: Majura
Friday
9 January
Cars, Planes, &
Automobiles
So you think your paper
plane can fly? Today
the children will use
recycled materials to
create paper planes,
cars, and trucks. We
will also answer the
question: can this fly
and stay intact?
Children can bring
their ‘wheels’ along
today!
(bikes, scooters,
roller blades etc.)
Don’t forget to bring
your helmets &
protective gear!
Friday
16 January
Appreciate a Dragon
Day!
Who is your favourite
dragon? Eragon?
Toothless? Maybe
even Norbert the
Norwegian Ridgeback!
Today is ‘Appreciate a
Dragon Day’ so we will
be learning all about
our favourite dragons!
Movie: How to Train
your Dragon 1 or 2
Rated “PG”
Activities always available: Hama Beads, Colouring-ins, Lego, Mobilo, Blocks, Construction, Outside Play, Board Games, Card Games, Books,
Drawing materials, Activity Stencil Sheets (dot-to-dot etc.), Mask Making, Scooters, Dress-ups, Peg Boards, Dramatic Play, Blank Paper, Writing
Materials, Marble Maze, Beading.
Activities on throughout the school holiday program: Children and educators will collaboratively make daily programs at the centre with the
activities and experiences in which they choose to do on that day. This will include all spontaneous experiences, in which we observe the children
doing throughout the day, as well as activities such as art and craft that the children ask for and that the educators plan for. Not all activities need to
be based around the daily theme.
Spontaneous Activities
and Children’s Choices
Note to Families: To avoid disappointment, please only bring your child’s electronic devices to the centre on the days in which
‘electronics day’ is indicated on the program.
7|Page
YWCA Canberra School Holiday Program
January 5 – January 30, 2015
Majura, St. Benedict’s, Kingsford Smith, Turner*
*Turner 6-23 January ONLY
Monday
19 January
Wheels Day
Bring in your bikes,
scooters and
skateboards for a day on
the track.
Don’t forget your
helmet and other
safety gear!
Tuesday
20 January
Penguins in
Summer!
Its Penguin
Appreciation Day so
come on in and try
your hand at making
your own fury
flightless friend!
Afternoon: Penguin
themed Movie
Monday
26 January
P
U
B
L
I
C
H
O
L
I
D
A
Y
TURNER DOES NOT
OPERATE THIS WEEK!
Tuesday
27 January
Ready, Steady,
Cook!
National Chocolate
Cake Day!
Put your chef hats on
and get ready to cook
up a storm! With a
little help from the
‘Wombat stew
cookbook’ we will be
making a Tasmanian
Devil Food Cake.
Wednesday
21 January
Sports Around The
World!
Thursday
22 January
Y Factor!
Talent Quest
Are you a comedian?
Singer, Dancer? Maybe
you’re an artist.
Today’s the day to show
us what you’ve got.
Impress the judges and
we’ll see if you have the
‘Y-Factor’.
Today we will be trying
out our hands at sports
from all across the
world. Will you become
a master at soccer,
bowling, juggling,
racquetball or
volleyball?
Wednesday
28 January
EXCURSION:
DICKSON POOL
SLIP, SLOP, SLAP!
It’s hot and we’re ready
to cool off!
Don’t forget your
swimmers, hat, lunch,
drink bottle, towel & a
change of clothes!!
Please be at the
program by 9AM!
PLEASE ADVISE ON
ENROLMENT WHAT
LEVEL OF SWIMMER
YOUR CHILD IS!
Friday
23 January
EXCURSION:
Australia Day BBQ
John Knight Memorial
Park
To celebrate Australia
day we will be heading
out to the park to have
a fun day outside
celebrating our great
country!
Don’t forget your hat,
and water bottle!
Sausage Sizzle Lunch
Provided
Thursday
29 January
Puzzles Galore!
Are you ready to test
your brain?
Today is International
Puzzle day, so let’s get
our thinking caps on to
create and solve a
variety of puzzles,
jigsaws, riddles, and
more!
Afternoon: Electronics
Friday
30 January
YWCA Carnival!
Help us transform our
School Holiday
Program into Sideshow
Alley! With lots of fun
activities, it will be like a
day at the Carnival!
Hot Chips Lunch to
Conclude our January
School Holiday
Program!
PM: Electronics
Activities always available: Hama Beads, Colouring-ins, Lego, Mobilo, Blocks, Construction, Outside Play, Board Games, Card Games, Books,
Drawing materials, Activity Stencil Sheets (dot-to-dot etc.), Mask Making, Scooters, Dress-ups, Peg Boards, Dramatic Play, Blank Paper, Writing
Materials, Marble Maze, Beading.
Activities on throughout the school holiday program: Children and educators will collaboratively make daily programs at the centre with the
activities and experiences in which they choose to do on that day. This will include all spontaneous experiences, in which we observe the children
doing throughout the day, as well as activities such as art and craft that the children ask for and that the educators plan for. Not all activities need to
be based around the daily theme.
Spontaneous Activities
and Children’s Choices
Note to Families: To avoid disappointment, please only bring your child’s electronic devices to the centre on the days in which
‘electronics day’ is indicated on the program.
8|Page