Program is held at Queanbeyan YMCA

2 Southbar Road, Queanbeyan NSW 2620

Phone: 02 6297 2334

Email: Queanbeyan@ymca.org.au

We're open from 8.00 a.m. - 6.00 p.m.Late Fees will apply for late pick up.

• Bookings are essential and cannot be accepted unless accompanied by the application form.

• Cost is $48 per day. (CCS applies)

• Excursion fees are an additional cost (NO CCS) - Payment must be in advance.

• NO hot food to be brought into centre - Lunch orders are available.

• All children to be at the centre by 9.00 a.m. on excursion days

• YMCA is a Nut Free Zone

• NO Electronic Devices E.G mobile phone, Apple watch to be brought to the centre

PLEASE NOTE: Please do not turn up on the day

and expect to be able to book in

as we have very strict staff to children ratios.

Contact must be made with the Queanbeyan YMCA Office.

School Holiday FunSchool Holiday FunApril 13th 2020 - April 27th 2020

Things to rememberThings to remember

To ensure the program runs according to schedule, you are required to arrive at the centre by 9.00am. All information for an excursion is found on the excursion page within attached documents. The anticipated number of children on excursions are 50 unless stated otherwise. I understand that due care will be taken by YMCA employees and that the employee cannot be held responsible for any damage or injury occurring during travel. There are no refunds if you no longer need care on a day that you have booked your child/ren in if they are booked in for an excursion. Any changes to the program will be informed via direct contact from the centre. Excursion risk assessments are available for review at the centre. Children attending all YMCA Vacation Care programs must wear a broad brimmed hat and enclosed shoes.

How to Book

To cover staff requirements a fee of $2 per minute will be charged to your account after 6.00pm.

• Bring completed form to the Queanbeyan YMCA office or Email: Queanbeyan@ymca.org.au

• Complete a current Vacation Care Booking Form, available from our office, or website: www.queanbeyan.ymca.org.au

• Please note: Please do not turn up on the day and expect to be booked in as we have a strict staff to children ratio.

• Please note: One weeks notice in writing is required to cancel your booking.

Fees:The daily cost is $48.00 per child from 8am - 6pm. Excursions are an additional fee from $5 - $30. Payments can be made by Cash / Cheque / Eftpos at the office or by Direct Credit to the Account. Excursions are to be paid upon Enrolment.

Late Fees:

Debt Collection:I understand that I will incur a commission fee if my account is forwarded to a debt collector

Refunds:

Please indicate immunisation status in the space provided on the Enrolment Form.

Excursions:

Refunds or credits are not given unless a program is cancelled by the YMCA of Queanbeyan.

All children will be accepted into the Vacation Care Program; however children who have not been immunised will be excluded from the program in the event of an outbreak of an infectious disease. Families must provide evidence of immunisation or have an exemption to be eligible for the CCS allowance.

Immunisation:

Breach of YMCA Policies and Procedures

The child/ren will be transported by Queanbeyan YMCA’s bus. This bus does not contain seatbelts.

Arrival and Departures:At the commencement of each morning you are required to sign the child/ren in on KIOSK. The child/ren must also be signed out and will not be allowed to leave the centre with any person other than those nominated on this booking form. Written notification is required to allow another person to collect the child/ren. Identification will be required.

Staff:

I authorise the YMCA staff to obtain, at my cost, medical or ambulance assistance in the case of an accident or emergency. I hereby agree that the YMCA staff shall be released from and shall not incur any responsibility or liability whatsoever for any accident or injury sustained by any persons included on this application or for any damage to or loss of property.

Please pack the child/ren a healthy morning tea, healthy lunch, healthy afternoon tea, a drink bottle, a broad brimmed hat, a jumper and appropriate shoes for daily activities. Children should wear t-shirts with sleeves. Please do not bring hot food or food that contains nuts.

Emergency:

Information on which supervisors are working daily and attending excursions is displayed in our centre. Our ratios for excursions will be in accordance with National Education and Care Regulations

Transport:

YMCA Policies and Procedures are established for the safety and enjoyment of all children. Breaches of these policies and procedures may result in exclusions from activities or the program following consultation between parents/families and YMCA management.

What to bring:

School Holiday Fun • InformationSchool Holiday Fun • Information

FARM ANIMALS

Today will be a fun filled day about farm animals. We will be indulging in some fun farm animal crafts,

games and cooking. Bring along your favorite soft farm animal.

Today we will also have hatching Ducks arriving for the fortnight. Educator to child ratio 1:15. Anticipated number of children: 160. Anticipated number of staff: 11

SPACE THEME

Have you ever wanted to go on a space exploration. Come and join our journey around the galaxy

and make some amazing space inspired arts, crafts and also take part in our rocket game.Educator to child ratio 1:15. Anticipated number of children: 160. Anticipated number of staff: 11

CREATIVE RECYCLING

Today we give back to our planet with activities that encourage us to Reduce, Reuse and Recycle.

Use your creative skills as we make a variety of fun recycled crafts.Educator to child ratio 1:15. Anticipated number of children: 160. Anticipated number of staff: 11

SAFARI

A safari is not complete if you do not get a taste of the jungle.

Today we are going on an African Safari with a day full of creative Safari themed activities.Educator to child ratio 1:15. Anticipated number of children: 160. Anticipated number of staff: 11

EARTH DAY

Together we can reflect on our planet, our environment and learn ways we can keep the Earth

healthy and enjoy some fun educational activities. Educator to child ratio 1:15. Anticipated number of children: 160. Anticipated number of staff: 11

ANZAC DAY CRAFT

ANZAC day is a National day of remembrance that is observed on the 25th of April in Australia and

New Zealand. Lets reflect on Anzac day as we make a Poppy and help make some delicious ANZAC biscuits.Educator to child ratio 1:15. Anticipated number of children: 160. Anticipated number of staff: 11

School Holiday FunSchool Holiday Fun

MULTICULTURAL THEME DAY

Let's explore other countries and their culture through a variety of fun activities and experiences.Educator to child ratio 1:15. Anticipated number of children: 160. Anticipated number of staff: 11

PAPER PLATE CREATIONS

Check it out! There are so many things you can make with paper plates.

Come and be inspired and create some fun paper plate creations.Educator to child ratio 1:15. Anticipated number of children: 160. Anticipated number of staff: 11

School Holiday Fun • InformationSchool Holiday Fun • Information

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MONSTER MADNESS

Prepare yourself for a day all about monsters. You will be able to create your own Monster mask and

other monster inspired creations.Educator to child ratio 1:15. Anticipated number of children: 160. Anticipated number of staff: 11

MINIONS

Minions, Minions everywhere. Cheeky but lovable and who doesn't love the antics they get up to.

Come and make your own minions and have fun.Educator to child ratio 1:15. Anticipated number of children: 160. Anticipated number of staff: 11

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Easter Monday

In House Activity - Stufflers - Bunnies - Cost: $15

Where: Queanbeyan YMCA, 2 Southbar Road Queanbeyan NSW 2620

Travel: Nil • Staff: 1 Supervisor and 6 Childcare staff.

Limit of Children: Maximum 40 Children

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School Holiday Fun • ExcursionsSchool Holiday Fun • Excursions

please specify please specify

I have read the Risk Assessments for the activities my child/ren are attending (available at the centre) and agree to my child/ren

attending these days.

Your Permission

Risk Assessments

I (the undersigned) have read all enrolment 'Important Information' (located on the 'How to Book'

page) and agree to abide by them. I have read the Activities Information page which outlines information relevant to the Vacation Care

program activities. I give permission for my child/ren to attend YMCA Vacation Care and will not hold the YMCA, its staff or volunteers

responsible for damages and/or loss of property and/or accident.

Signature: Date: / /

Parent / Guardian B

Mobile:

Centrelink CRN Number:

Name:

Surname:

Relationship: Mother Father Other

(English Name:)

Relationship:

Home: Work Phone:

Date of Birth: / /

Address

First Name:

Email:

Gender: Male Female Unspecified

Parent / Guardian Contact Information

Postcode:

Mobile:

Parent / Guardian A

First Name:

Surname:

Mobile:

(English Name:)

Gender: Male Female Unspecified

Centrelink CRN Number:

Address

Date of Birth: / /

Relationship: Mother Father Other

Parent / Guardian Contact Information

Postcode:

Email:

Private Health Number:

EMERGENCY CONTACTS

Home: Work Phone:

Relationship:

Mobile:

Name:

School Holiday Fun • Booking FormSchool Holiday Fun • Booking Form

Children’s Information

Child A

First Name

(English Name:)

Surname:

Date of Birth: / /

Gender: Male Female Unspecified

Child’s CRN Number:

Age:

Is your child fully immunised? Yes No

Family Doctor:

Phone:

MEDICARE No:

First Name

Surname:

Age:

Gender: Male Female Unspecified

Family Doctor:

Phone:

(English Name:)

Child B

Children’s Information

MEDICARE No:

Is your child fully immunised? Yes No

Date of Birth: / /

Child’s CRN Number:

Child’s CRN Number:

First Name

Phone:

Children’s Information

Family Doctor:

(English Name:)

Surname:

Age:

Child C

Date of Birth: / /

Gender: Male Female Unspecified

Is your child fully immunised? Yes No

MEDICARE No:

First Name

Surname:

Gender: Male Female Unspecified

Children’s Information

Child D

(English Name:)

Date of Birth: / /

Age:

Family Doctor:

Is your child fully immunised? Yes No

Phone:

Child’s CRN Number:

MEDICARE No:

School Holiday Fun • Booking FormSchool Holiday Fun • Booking Form

A B C D $488.00am - 6.00pm

A B C D $488.00am - 6.00pm

PLEASE NO MEAL DEALS ON EXCURSION DAYS

Who is attending? Indicate child A, B, C and D in the table below:

Please note: Please do not turn up on the day and expect to be

Child C: Child D:

booked in as we have a strict staff to children ratio.

Child A: Child B:

Attendance

ACTIVITY Time Cost SubtotalChildren Attending Risk Assessment

Office Use:Exc No.

FARM ANIMALS

SPACE THEME

A B C D

A B C D

$48

$15

8.00am - 6.00pm

10.00am - 12.00pm

8.00am - 6.00pm

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MONSTER MADDNESS

School Holiday Fun • Booking FormSchool Holiday Fun • Booking Form

In House - Stufflers

8.00am - 6.00pm A B C D $48

PAPER PLATE CREATIONS

MULTICULTURAL THEME DAY

8.00am - 6.00pm

8.00am - 6.00pm

A B C D

A B C D

$48

$48

ANZAC DAY CRAFTS 8.00am - 6.00pm A B C D $48

EARTH DAY 8.00am - 6.00pm A B C D $48

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MINIONS 8.00am - 6.00pm A B C D $48

PUBLIC HOLIDAY

SAFARI 8.00am - 6.00pm A B C D $48

CREATIVE RECYCLING

Do any of the children have any medical, behavioural or special needs that the YMCA needs to be aware of? If yes please provide details

YES NO (if yes please indicate which child/ren)

Child A Child B Child C Child D

Please specify/detail the medical/behaviour diagnosis, how it affects the child/ren and what management plans are in place including medication The medication must be clearly labelled with a pharmacy label, child's name, type of medication and required dosage.

Medical and Behaviour Information

It is YMCA policy that all action plans (these must be within the last 12 months) be attached to each vacation care booking form prior to processing of the booking. Any child with Diabetes, Anaphylaxis / Asthma or Allergy must complete a new risk management policy every 12 months. These can be obtained from the Queanbeyan YMCA Office.

Medical Policy Received Yes No Date:

• Provide visual documentation for families to see what your activities are done through the day Yes No

• Assist with evaluations of the program Yes No

•To use as part of promotion and publicity for the centre Yes No

I give permission to the YMCA to use photographs of my child for:

I give permission to YMCA staff to apply sunscreen 50+ to my child? Yes No

If the child/ren require/s medication while on program an must be completed. You can obtain Authority to give medication forma form from Queanbeyan YMCA office - 02 6297 2334

Authorisations

I give permission for my child to go on excursions which involve travel by bus? Yes No

I give permission for my child to walk over to Steve Mauger Oval (behind YMCA) Yes No

and play G or PG or M (i.e Harry Potter) rated computer games Yes No

Signature: Date:

I give permission for my child to have their face painted / nail polish / hair sprayed if they wish Yes No

I give permission for my child to watch G or PG or M (i.e Harry Potter) rated programs (TV, DVD, Video or Movies)

School Holiday Fun • Booking FormSchool Holiday Fun • Booking Form

YMCA of QUEANBEYAN VACATION CARE

Operating at Queanbeyan YMCA 2 Southbar Road, Queanbeyan

Phone: (02) 6297 2334 • Mobile: 0418 525 629

Email: Queanbeyan@ymca.org.au

Office Use Only.

Name of staff entered

Received date

Entered

Amount and date paid for excursions $

Notified if excursion is full

Waiting list number for Bungendore excursion