Full days from just $59.00
% CCB / CCR applicable
All day sessions!
% Great for working parents
4 convenient locations
% All over Kingston
Join the epic fun these summer holidays!
How to book
more informationw kingston.vic.gov.au/schoolholidayprogramt 9581 4846 or 9581 4875 e [email protected]
1. Read through this brochure2. Pick the sessions for your child
3. Fill out Aform
Application for enrolment (if you have not previously enroled in Holiday Program)
4. Fill out Bform
Excursion Permission
5. Fill out Cform
Booking + Payment
~ everyone is welcome ~
21 December 2015 - 27 January 2016Holiday ProgramHoliday Program
see youthere!
Aspendale
Bonbeach
Dingley
Moorabbin
download forms online!
program fees
Full days from $59. 00
Workshops and Excursion fees are dependent on the =particular activity. CCB/CCR applicable
locations + timesMill St Aspendale Yarrabah School 7.30am-6pm
Bonbeach Primary School 7am-6pm
Dingley Primary School 7am-6pm
Moorabbin Primary School 7am-6pm
key datesEnrolments open: 9am Monday 16 November
Enrolments close: 5pm Friday 4 December
Mill St Aspendale enrolments close 5pm Friday 27 November
note要聯絡市政府,請給我們打電話 131 450
如要联系市议会,请致电131 450
save 50% or more!
BonbeachBonbeach Primary
places
available
60Yarrabah School
Aspendale places
available
45
Activities are summary only and are subject to change See booking forms for more info. Excursion days: children must arrive by 8.15am sharp.note fees In-house $59.00 Workshop and Excursion fees vary and are indicated above.
MON 21 DEC
TUE 22 DEC
THUR 24 DEC
WED 23 DEC
TUE 29 DEC
WED 30 DEC
MON 4 JAN
THUR 31 DEC
WED 6 JAN
FRI 8 JAN
TUES 12 JAN
THUR 14 JAN
MON 18 JAN
TUE 19 JAN
WED 20 JAN
THUR 21 JAN
FRI 22 JAN
MON 25 JAN
WED 27 JAN
FRI 15 JAN
WED 13 JAN
MON 11 JAN
THUR 7 JAN
TUES 5 JAN
NO PROGRAM TODAY NO PROGRAM TODAY NO PROGRAM TODAY Welcome day: program rules, Christmas bongo, make gingerbread houses, pin the nose on the reindeer, make play dough, giant scrabble
NO PROGRAM TODAY NO PROGRAM TODAY NO PROGRAM TODAY Excursion - Basterfield Park & Sausage Sizzle $76 Plus: Elf yourself, make Christmas cards and cookies
NO PROGRAM TODAY NO PROGRAM TODAY NO PROGRAM TODAY In-house fun: snowman relay, marshmallow drop, Candy cane relay race, Christmas trivia, baseball water balloons
NO PROGRAM TODAY NO PROGRAM TODAY NO PROGRAM TODAY Christmas Eve: obstacle course, snowman ring toss, slip n’ slide, water bomb shooters, piñata, Christmas party
Summertime Welcome Design your own cap, make fish, sea creatures or reef objects to add to our Mill street aquarium. Water play war - bring your waterpistols!
NO PROGRAM TODAY NO PROGRAM TODAY NO PROGRAM TODAY
Workshop - New Years Eve silent disco party! $76 Join the dance party to welcome the new year! Plus: New year 2016 party calendar, New Year’s resolution letters
NO PROGRAM TODAY NO PROGRAM TODAY NO PROGRAM TODAY
Excursion - Bicentennial Park and sausage sizzle $76 Play all day! Make kites to fly at the park! Bring a hat + sunscreen. NO PROGRAM TODAY NO PROGRAM TODAY NO PROGRAM TODAY
Hawaiian Escape Make newspaper grass skirts, flower leis, design your own surfboard, Hawailian colouring comp
Welcome Day: Bonbeach rules, hama beads, make moon sand, water bowl relay, water baseball, group games NO PROGRAM TODAY T-shirt making! (byo shirt) Plus: Fruit Kebabs, Foam pit – pool,
Donut game, make candles and jewellery
Excursion - Trampolining at Jump Central $76 Plus: outdoor picnic lunch, icy pole treats, chalk drawing
Excursion - Movies and Bicentennial Park $76 Plus: make scones, water marble race, pac man NO PROGRAM TODAY Excursion - Movies plus choose your afternnon fun! $76
4-9yrs: Basterfield Park, 10-13yrs Waves Leisure Centre or Basterfield park. Plus: sock puppets, goal comp, limbo
Workshop - Building structures with clapstand $75 Suitable for all abilities - a mix of creativity, skill, social development and imagination! Plus: Canvas painting, Jewellery making
Excursion - Churchill Heritage Farm and Seal Rocks $85 Plus: Make Slime, Summer mural, In out game
NO PROGRAM TODAY Excursion - Kryal Castle $85 Plus: Black board wall, Bubble wrap stomp, scream & run
Excursion - Swimming $76 Plus: Crazy Hair styling and photos shoot, Make your own salad pita pocket snacks
Excursion - Melbourne Zoo $77 Plus: Make a bubble wand, Bubble Fun, Jewelry Making NO PROGRAM TODAY Excursion - Explore the city in a day $76
Plus: tug–o–war, marble art, giant naughts and crosses
All about me! Make a door hanger for your bedroom, make a cool name tag for your bag or lunch box, have your photo taken and make a frame to put it in
Workshop - Wild Action workshop: $77 Plus: ocean jars, water cup and bucket relay, slip and slide, cooler pops, colour corners.
NO PROGRAM TODAY Workshop - Sports workshop $75 Plus: sports day, pizza making, face painting, paper plate birds, movie and popcorn
Enviro-Mania construct MEGA cubby houses, origami, paper plane comps, make energy saving reminders and signs, become a ‘sustainability monitor’ to enforce recycling and energy saving, make badges and caps
Tropical day: make a tropical drink, Hawaiian leis, limbo, tropical paper plate fish, beach volley ball, water balloon piñata
Welcome / Science day: Dingley rules, sink or float, loads of experiments, water bottle rockets, recyled creations, scream and run, make slime
Slime festival All things slime: twister, frisbee comp, wet chalk drawings, sewing. Remember to bring a change of clothes!
Excursion - Myuna Farm $76 Ride the train, hold guinea pigs, visit all the animals and play on the playground!
Excursion - XTreme Air and Bicentennial Park $80 Plus: cricket, sandpit creations, water balloon target
Excursion - Yarra cruise and Royal Botanic Gardens $85 Plus: make paper flowers, ping pong hockey
Excursion - Strawberry Farm & Arthurs Seat National Park $85 Plus: cheese ball catch, make slime, hot milo for afternoon tea.
Workshop - Magic Show $75 Check out Steve the Magician! Make your own magic wand and magician hats and teach us a trick! Plus: ceramic mug painting
Excursion - Collingwood Farm $76 Plus: water balloon fight, word find challenge, moon sand fun
Excursion - Mini Golf + Dingley Reserve $76 Plus: candle making, cricket, UNO Stacko, fruit salad, make cupcakes
Excursion - IMAX, Museum & Carlton gardens $80 4-9yrs - Tiny Giants / 10-13yrs Star Wars Plus: Ice block treasure hunt, broom spinners, soccer comp
Excursion - Movies at Pinewood $76 Plus: cup cake decorating, glass paint a candle holder
Excursion - Werribee Open Range Zoo $80 Plus: balloon games, painting, movie afternoon
Excursion - Strawberry Farm & Arthurs Seat National Park $85 Plus: water balloon baseball, origami, movie + popcorn
Excursion -Yarra cruise and Royal Botanic Gardens $76 Plus: make handcuffs, cops + robbers, Ned Kelly masks
Celebrate Italy! Make mini pizzas, construct Leaning Tower of Pisa or the Colosseum using pop sticks, gelati snack, frame your own Mona Lisa portrait
Workshop - Seaweed Sally $75 Make a bouncy ball, slip n’ slide, ship, shark,shore, make beach signs, paint beach pictures
Workshop - Possum Potter $75 Plus: Tri Wizard Cup dress up, make messenger owls + send your friends messages
Workshop - Art works $76 Plus: Minute to Win It, pass the water games, make animal masks, make mini pizza
Transport day BYO bikes, scooters, skateboards, rollerblades or roller skates (must bring helmets / safety gear to participate)Map out roads make road signs and appoint traffic police. Spend the day riding around the Mill street traffic school !
Mixed bag: Make honey joys, slip n’ slide, ten pin bowling, water pistol beach ball race, water team relay, glow worm/butterfly, octopus
MasterChef Monday: Walk to Woolworths, leaders vs children cook off, ice cream sundaes, hama beads, sand castle challenge
Game day: Basketball fun, make cupcakes, child-led games, build forts, capture the flag, fruit kebabs
Excursion - Big Goose Adventure Park Animal Farm $76 Tractor rides, meet the animals, maze, climb the adventure playground and bounce on the giant jumping pillow
Excursion - Super Zu $80 Plus: spray bottle art, heads down thumbs up, fruit kebabs
Excursion - Birrarung Marr and lunch at Crossways $76 Plus: newspaper fashion, mobile challenge
Excursion - Werribee Open Range Zoo $80 Plus: scattergories, frisbee golf, silent ball
Workshop - Music therapy $75 dance, play instruments, sing your favourite songs, make maraccas, dance off comp
Excursion - Ian Potter Gardens $80 Plus: hama beads, carnival day cooking, number basketball
Excursion - Movies and Bicentennial Park $76 Plus: ice play, water balloon baseball, make fruit slushies, shave the balloon game, paddle pool (BYO towel)
Excursion - Rush HQ and Churchill National Park $85 Plus: chatter boxes, paper fans, board games
Excursion - Bowling at AMF Moorabbin $76 Take on your team mates to score a strike! Design and paint your own tote bag, pancake snacks
Excursion - Dingley Carnival $76 Plus: painting, colored corners, dead fish
Excursion - Dingley Carnival $76 Plus: water balloon baseball, origami, movie & popcorn
Excursion - Dingley Carnival $76 Plus: water wars, balloon rockets, 2-Square challenge
Australia Day Party! Wear green and gold, best dressed wins a prize! Plus: movie + popcorn, meat pie snacks, zinc faces, Australia Day temporary tattoos, lawn games
Workshop - Hot Paint Graffitti Art $75 Plus: make lemon slice, water balloon piñata, movie afternoon, air rocket, cooler pops
Workshop - Animals of Oz $75 Plus: paper folding snakes, parachute games, frogs in a pond, leap frog races
Workshop - Flying Doctors $75 Plus: make scones for afternoon tea, guess that song, parachute games, movie and popcorn
NO PROGRAM TODAY NO PROGRAM TODAY NO PROGRAM TODAY Australia Day festivities: water wars, sausage sizzle, make flags leaders vs kids cricket, icy poles (BYO change of clothes)
NO PROGRAM TODAY NO PROGRAM TODAY NO PROGRAM TODAY Farewell day make fried rice, disco, capture the flag, playground obstacle course, movie and popcorn
MoorabbinMoorabbin Primary
places
available
60DingleyDingley Primary
places
available
55
Parent information and booking detailsFEES
In-house $59 . 00 Workshop and Excursion fees are dependent on the particular activity and will be advertised for each vacation care period.
Late pick up fees are$18. 00 per 15 minutes or part thereof.
Commonwealth Child Care Benefit (CCB) and the Child Care Rebate (CCR) are available to eligible families.
HOW TO BOOK
Enrolments open 9am Monday 16 November Enrolments close: 5pm Friday 4 December
Submit your completed forms to the Vacation Care Office via one of the following options:
By post: Include full payment by cheque, money order or credit card authorisation to: School Holiday Program City of Kingston PO Box 1000 Mentone Vic 3194.
By email: send your completed forms to: [email protected]
By fax: to 9581 4848
Bookings are not accepted at any City of Kingston office or School Holiday Program venue.
ONCE PROCESSED, ALL FEES ARE NON-REFUNDABLE AND NON-TRANSFERABLE. Children will not be accepted into any of the Kingston Vacation Care Programs unless a booking has been made with the Vacation Care Team and all outstanding fees/amounts owed to any of the City of Kingston Children’s Services programs are paid in full.
CHILD CARE BENEFIT
Register with the Family Assistance Office (FAO), 13 61 50, to receive Child Care Benefit (CCB) and/or the 50% Child Care Rebate (CCR).
SUPPORT FUNDING
For a child who requires support for inclusion in a program we ask that forms are submitted by 20 November to allow time to apply for support funding.
Children with additional needs attending Aspendale (Mill Street) are required to submit forms by 5pm Friday 27 November. Due to the strong demand for this program a Priority Allocation Policy is applied to determine the allocation of places.
ABSENCES
If your child is sick or not attending a booked session, please call and notify the program supervisor before 8.30am. Refund/credit will not be granted for absences.
LATE BOOKINGS:
All enrolments received after 5pm Friday 4 December 2015 will be classified as a Late Enrolment and will incur a fee of $37.
IMPORTANT INFORMATION
• Children must be at the venue by 8.15am on excursion days, unless instructed otherwise by educators to ensure they are accounted for, prepared and ready to go by the departure time.
• Children must bring their own lunch, morning and afternoon tea and a drink bottle. Send your child/ren with a healthy lunch and snacks. We encourage children to lead a healthy, active life style supported by healthy eating. We seek your support in this endeavour. A fresh fruit and vegetable platter will be available as an additional snack in the afternoon.
• Please ensure children are dressed appropriately for the weather and ensure suitable shoes are worn for playing outside, on play equipment and for walking distances when on excursions. No thongs or open toe shoes.
WORKSHOPS & EXCURSIONS
If attending an excursion, participation is compulsory.
Children must be dropped off before 8.15am to ensure bus departure is on time.
WHAT TO BRING
• Lunch, drink, snacks (in line with anaphylaxis and heallthy eating policies)
• Coat, appropriate clothing for seasonal change and excursions
MEDICATION
Please provide all necessary medications, asthma inhalers, spacers, epipens/anapens, etc. Speak to educators and complete necessary paperwork on arrival.
Action plans are to be completed and submitted with enrolment forms.
AGE REQUIREMENT
Children must be currently enrolled to attend primary school to qualify for enrolment in Kingston’s School Holiday Program.
BEHAVIOUR MANAGEMENT POLICY
Kingston Vacation Care has the right to remove or refuse further participation of any child whose behaviour is deemed to be inappropriate. Bullying, bad language, and harassment of other children or educators will not be tolerated under any circumstances. For further information see our Policy and Procedures Manual.
CHILDREN WITH ADDITIONAL NEEDS
In accordance with the Application for Enrolment procedure we may be able to provide additional educator support to include children with additional needs and children from culturally and linguistically diverse backgrounds.
Prior to booking, phone Kingston’s School Holiday Program team on 9581 4846 or 9581 4875 to discuss your specific circumstances.
ANAPHYLAXIS POLICY
Parents and/or carers of a child/children diagnosed with anaphylaxis please note:
• it is conditional of your application for enrolment into the Kingston School Holiday Program that you agree to your child/children’s anaphylaxis action plan being displayed in the main room of the venue they are attending. This is to ensure the safest possible environment for the child, and that relevant information is readily available to the community at all times.
All parents are to be aware that children with anaphylaxis will be attending Kingston’s School Holiday Program. When providing food for your child/ren please do not send food containing specified allergens or ingredients as identified on the child/ren’s displayed Action Plans.
Please note: A risk minimisation plan is required to be developed for all children who have been diagnosed with anaphylaxis, asthma, diabetes or any other medical condition in consultation with educators on enrolment.
PRIORITY OF ACCESS
Kingston’s School Holiday Program is offered to the general community.
Priority of Access will be given to:
1. Children at risk of abuse or neglect and families in crisis.
2. Children with parents who are working, seeking employment, studying or training.
3. Children not identified in any of the above priority care groups.
ALL ENQUIRIES
If you have any questions regarding the Vacation Care Program please contact Council’s Vacation Care team:
Julie Hasselby School Hoilday Program Coordinator t 9581 4846
or
Kim Chadwick School Hoilday Program Administration t 9581 4875
CENTRE CONTACT DETAILS
Aspendale 23 Mill Street / Melways ref 92 H3 m 0418 437 832
Bonbeach Breeze Street / Melways ref 97 D5 m 0439 868 716
Dingley Centre Dandenong Road / Melways ref 88 F6 m 0439 868 714
Moorabbin Worthing Road / Melways ref 77 E7 m 0439 868 714
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要聯絡市政府,請給我們打電話 131 450
如要联系市议会,请致电131 450Kingston’s Language LinePeople of all languages can now contact Kingston on one number 131 450
A Application for EnrolmentChild details CHILD 1 CHILD 2 CHILD 3
First name:
Family name:
Address:
Suburb:
School child attends:
Cultural background:
Child’s CRN number:
Date of birth:
Gender: male female male female male female
Dietary restrictions: Please specify
Allergies:
List any allergies and attach allergy action and risk minimisation plan as required. Please supply a passport size photo of your child for easy identification by educators
Anaphylaxis: yes no yes no yes no
Has your child been diagnosed as at risk of anaphylaxis? Please attach action and risk minimisation plan and a passport size photo of your child for easy identification by educators
Diabetes: yes no yes no yes no
Attach action and risk minimisation plan as required. Please supply a passport size photo of your child for easy identification by educators
Asthma: yes no yes no yes no
Attach action and risk minimisation plan as required. Please supply a passport size photo of your child for easy identification by educators
Disabilities or additional needs: yes no yes no yes no
Please specify as required. Please supply a passport size photo of your child for easy identification by educators
Immunised to school age: yes no yes no yes no
Please supply a copy of your Complete Immunisation History Statement from Medicare on initial enrolment
Aboriginal or Torres Strait Island descent:
Torres Strait Islander
Aboriginal
Neither
Torres Strait Islander
Aboriginal
Neither
Torres Strait Islander
Aboriginal
Neither
Photographic consent: yes no yes no yes no
I consent to my child being photographed during activites at Kingston’s School Holiday Program. Photographs may be used by the programs for curriculum activities and children’s portfolios.
Parent /guardian details PARENT / GUARDIAN 1 PARENT / GUARDIAN 2
Parent / guardian details must be provided unless explanation is provided.
Full name
Address:
Suburb:
Contact number: work home work home
Mobile:
Relationship to child:
Date of birth:
CRN number: registered for CCB? registered for CCB?
Status: Child/family at risk
Parent working, studying, training,
or seeking employment
Child/family at risk
Parent working, studying, training,
or seeking employment
Language spoken at home:
Do you have other children in child care elsewhere during the School Holiday Program period? yes no If yes, how many?
APPLICATION FOR ENROLMENT - PAGE 1
form
please remember to attach all relevant medical plans and information
School Holiday Program
Medical detailsMedical clinic: Doctor’s name:
Address: Phone:
Health insurance provider: Membership number:
Medicare number: Ambulance member number:
Emergency contacts / authorised nomineesYou must nominate TWO emergency contacts over the age of 18 years (other than the parents/guardians listed on the previous page) to be contacted in the case of an emergency. Please note in the event that if no emergency contacts are provided and educators cannot contact the parents/guardians, then Department of Human Services (DHS) and/or Victoria Police will become your emergency contacts.
I (parent/guardian) authorise the following people to:
AUTHORISED NOMINEE 1 AUTHORISED NOMINEE 2
Collect my child from the program Collect my child from the program
Authorise the service/educators to take my child outside the venue Authorise the service/educators to take my child outside the venue
Be notified of any accident, injury, trauma or illness involving my child Be notified of any accident, injury, trauma or illness involving my child
Consent to the medical treatment of my child Consent to the medical treatment of my child
Request or permit the administration of medication to my child Request or permit the administration of medication to my child
Name Name
Relationship to child Relationship to child
Address Address
Work/home phone: Work/home phone:
Mobile: Mobile:
Custody/access arrangementsAre there any court orders or custody access arrangements the service needs to be informed of? yes no
If yes, please specify details and attach court orders.
LAWFUL AUTHORITY: Parents: All parents have powers and responsibilities in relation to their children that can only be changed by a court order. The Education & Care Services National Regulations 2012 refer to these powers and responsibilities as “lawful authority”. It is not affected by the relationship between the parents, such as whether or not they have lived together or are married. A court order, such as under the Family Law Act, may take away the authority of a parent, or may give it to another person.
Guardians: A guardian of a child also has lawful authority. A legal guardian is given lawful authority by a court order. The definition of “guardian” under the Education & Care Services National Law Act 2012 also covers where a child does not live with his or her parents and there are no court orders. In these cases, the guardian is the person the child lives with who has day-to-day care and control of the child.
PRIVACY STATEMENT: Personal information collected by Council is used for municipal purposes as specified in the Local Government Act 1989. The personal information will be held securely and used solely by Council for these purposes and/or directly related purposes. Council may disclose this information to other organisations if required or permitted by legislation. The applicant understands that the personal information provided is for the above purpose and that he or she may apply to Council for access to and/or amendment of the information.
Requests for access and/or correction should be made to Council’s Privacy Officer. A full copy of our Privacy Policy can be obtained from kingston.vic.gov.au
please insert your name
PAGE 2 - APPLICATION FOR ENROLMENT
form
Only complete this form if your child(ren) are attending the Aspendale School Holiday Program excursions.
Child 1 full name:
Child 2 full name:
Child 3 full name:
EXCURSION PERMISSION - ASPENDALE
Excursion Permission
Aspendale
B
% Risk Assessments have been prepared for all excursions and are available at the programs
= Excursion times vary, please see details below % Transport for excursions: Bus Daily fee covers cost of transport.
Excursions costs as stated (per child). CCB / CCR discounts (if eligible) will be applied by the enrolment office.
Please tick and sign the excursions your child(ren) will be attending.
Swimming $76
Date: Thursday 7 January 2016
Destination: Aspendale Swim 19 Ruvina Street, Aspendale
Depart: 11.00am Return: 2.00pm
Transport: walking
Places available: 45
Educator to Child Ratio: 1 : 15 (Ratios vary depending on support needs of children enrolled and the planned activities)
Myuna Farm $76
Date: Tuesday 12 January 2016
Destination: 182 Kidds Rd Doveton
Depart: 10.00am Return: 3.00pm
Transport: Bus
Places available: 45
Educator to Child Ratio: 1 : 15 (Ratios vary depending on support needs of children enrolled and the planned activities)
Child 1
Child 2
Child 3
Child 1
Child 2
Child 3
Parent initial Parent initial
% %
Bicentennial Park and Sausage sizzle $76
Date: Thursday 31 December 2015
Destination: Scotch Parade, Chelsea
Depart: 9.45am Return: 2.30pm
Transport: Bus
Places available: 45
Educator to Child Ratio: 1 : 15 (Ratios vary depending on support needs of children enrolled and the planned activities)
Child 1
Child 2
Child 3
Parent initial
% Trampolining at Jump Central $76
Date: Tuesday 5 January 2016
Destination: Jump Central, Cochranes Rd, Moorabbin
Depart: 10.00am Return: 2.00pm
Transport: Bus
Places available: 45
Educator to Child Ratio: 1 : 15 (Ratios vary depending on support needs of children enrolled and the planned activities)
Child 1
Child 2
Child 3
Parent initial
%
please turn over
21 December 2015 - 27 January 2016
Excursions, including regular outings, provide valuable opprortunities for children to explore the wider community and extend the educational program.=
School Holiday Program
EXCURSION PERMISSION - ASPENDALE
Parent / guardian statement
I/we being the parent/guardian(s) of the above named child/ren, give consent for participation in all program days as indicated above. In the event of injury or accident, I/we authorise you to obtain medical assistance for my/our child, including ambulance or hospital as required. I/we agree to pay any costs incurred. I/we have read and understand all policies and procedures associated with Kingston’s School Holiday Program and agree to abide by them. I/we understand that a change in circumstance or use of other childcare services may result in further fees payable.
Signed: Date
Aspendale Excursion Permission continued
Please tick and sign the excursions your child(ren) will be attending.
Bowling at AMF Moorabbin $76
Date: Thursday 21 January 2016
Destination: Nepean Hwy Moorabbin
Depart: 10.30am Return: 2.30pm
Transport: Bus
Places available: 45
Educator to Child Ratio: 1 : 15 (Ratios vary depending on support needs of children enrolled and the planned activities)
Child 1
Child 2
Child 3
Parent initial
%
Movies at Pinewood $76
Date: Thursday 14 January 2016
Destination: Blackburn Road Mount Waverly
Depart: 10.30am Return: 3.00pm
Transport: Bus
Places available: 45
Educator to Child Ratio: 1 : 15 (Ratios vary depending on support needs of children enrolled and the planned activities)
Child 1
Child 2
Child 3
Parent initial
% Big Goose Adventure Park Animal Farm $76
Date: Tuesday 19 January 2016
Destination: 223 Mornington-Tyabb Road Moorooduc
Depart: 10.00am Return: 3.00pm
Transport: Bus
Places available: 45
Educator to Child Ratio: 1 : 15 (Ratios vary depending on support needs of children enrolled and the planned activities)
Child 1
Child 2
Child 3
Parent initial
%
form
EXCURSION PERMISSION - BONBEACH
Excursion Permission
Bonbeach
B
Only complete this form if your child(ren) are attending the Bonbeach School Holiday Program excursions.
Child 1 full name:
Child 2 full name:
Child 3 full name:
% Risk Assessments have been prepared for all excursions and are available at the programs
= Excursion times vary, please see details below % Transport for excursions: Bus Daily fee covers cost of transport.
Excursions costs as stated (per child). CCB / CCR discounts (if eligible) will be applied by the enrolment office.
Please tick and sign the excursions your child(ren) will be attending.
Melbourne Zoo $77
Date: Thursday 7 January 2016
Destination: Elliott Ave Parkville
Depart: 8.15am Return: 3.30pm
Transport: Bus
Places available: 60
Educator to Child Ratio: 1 : 15unless otherwise specified
X Treme Air & Bicentennal Park $80
Date: Tuesday 12 January 2016
Destination: 1 Five Ways Keysborough & Thames Promenade & Scotch Parade, Chelsea
Depart: 8.15am Return: 3.30pm
Transport: Bus
Places available: 60
Educator to Child Ratio: 1 : 15unless otherwise specified
Child 1
Child 2
Child 3
Child 1
Child 2
Child 3
Parent initial Parent initial
% %
Village Cinemas and Bicentennial Park $76
Date: Tuesday 5 January 2016
Destination: Nepean Hwy Cheltenham and Thames Promenade & Scotch Parade, Chelsea
Depart: 8.15am Return: 3.30pm
Transport: Bus
Places available: 60
Educator to Child Ratio: 1 : 15unless otherwise specified
Child 1
Child 2
Child 3
Parent initial
% Churchill Heritage Farm & Seal Rocks $85
Date: Wednesday 6 January 2016
Destination: 246 Samuel Ames Dr Churhill Island and 1320 Ventnor Rd, Summerlands
Depart: 8.15am Return: 4.00pm
Transport: Bus
Places available: 60
Educator to Child Ratio: 1 : 15unless otherwise specified
Child 1
Child 2
Child 3
Parent initial
%
please turn over
Excursions, including regular outings, provide valuable opprortunities for children to explore the wider community and extend the educational program.=
21 December 2015 - 27 January 2016
now open from 7am!
School Holiday Program
EXCURSION PERMISSION - ASPENDALE
Parent / guardian statement
I/we being the parent/guardian(s) of the above named child/ren, give consent for participation in all program days as indicated above. In the event of injury or accident, I/we authorise you to obtain medical assistance for my/our child, including ambulance or hospital as required. I/we agree to pay any costs incurred. I/we have read and understand all policies and procedures associated with Kingston’s School Holiday Program and agree to abide by them. I/we understand that a change in circumstance or use of other childcare services may result in further fees payable.
Signed: Date
Bonbeach Excursion Permission continued
Please tick and sign the excursions your child(ren) will be attending.
Super Zu $80
Date: Tuesday 19 January 2016
Destination: 362-364 Boundary Rd, Dingley Village
Depart: 8.15am Return: 3.30pm
Transport: Bus
Places available: 60
Educator to Child Ratio: 1 : 15unless otherwise specified
Dingley Carnival $76
Date: Thursday 21 January 2016
Destination: Centre Dandenong Rd, Dingley
Depart: 8.15am Return: 3.30pm
Transport: Bus
Places available: 60
Educator to Child Ratio: 1 : 15unless otherwise specified
Ian Potter Gardens $80
Date: Wednesady 20 January 2016
Destination: Royal Botanic Gardens, Birdwood Ave, Melbourne
Depart: 8.15am Return: 3.30pm
Transport: Bus
Places available: 60
Educator to Child Ratio: 1 : 15unless otherwise specified
Child 1
Child 2
Child 3
Child 1
Child 2
Child 3
Child 1
Child 2
Child 3
Parent initial
Parent initial
Parent initial
%
%
%
Collingwood Farm $76
Date: Wedensday 13 January 2016
Destination: St Heliers St, Abbotsford
Depart: 8.15am Return: 3.30pm
Transport: Bus
Places available: 60
Educator to Child Ratio: 1 : 15unless otherwise specified
Child 1
Child 2
Child 3
Parent initial
% Werribee Open Range Zoo $80
Date: Thursday 14 January 2016
Destination: K-road Werribee
Depart: 8.15am Return: 3.30pm
Transport: Bus
Places available: 60
Educator to Child Ratio: 1 : 15unless otherwise specified
Child 1
Child 2
Child 3
Parent initial
%
form
Excursion Permission
Dingley
B
EXCURSION PERMISSION - DINGLEY
21 December 2015 - 27 January 2016
Only complete this form if your child(ren) are attending the Dingley School Holiday Program excursions.
Child 1 full name:
Child 2 full name:
Child 3 full name:
% Risk Assessments have been prepared for all excursions and are available at the programs
= Excursion times vary, please see details below % Transport for excursions: Bus and Train Daily fee covers cost of transport.
Excursions costs as stated (per child). CCB / CCR discounts (if eligible) will be applied by the enrolment office.
Please tick and sign the excursions your child(ren) will be attending.
Stawberry Farm & Arthurs Seat National Park $85
Date: Thursday 14 January 2016
Destination: 244 Shands rd, Main ridge & Purves Rd Arthurs Seat
Depart: 8.15am Return: 3.30pm
Transport: Bus
Places available: 55
Educator to Child Ratio: 1 : 15unless otherwise specified
Birrarung Marr & lunch at Crossways $76
Date: Tuesday 19 January 2016
Destination: Batman Ave Melbourne & 123 Swanton st Melbourne
Depart: 8.15am Return: 3.30pm
Transport: train
Places available: 55
Educator to Child Ratio: 1 : 15unless otherwise specified
Child 1
Child 2
Child 3
Child 1
Child 2
Child 3
Parent initial Parent initial
% %
Yarra Cruise & Royal Botanic Gardens $85
Date: Tuesday 12 January 2016
Destination: Southgate Promenade Berth 5 & Birdwood Ave, Melbourne
Depart: 8.15am Return: 3.30pm
Transport: Train
Places available: 55
Educator to Child Ratio: 1 : 15unless otherwise specified
Child 1
Child 2
Child 3
Parent initial
% Mini Golf & Dingley Reserve $76
Date: Wednesday 13 January 2016
Destination: Crn Lower & Centre Dandenong Rd Dingley Village & Marcus Rd Dingley Village
Depart: 8.15am Return: 3.30pm
Transport: walking
Places available: 55
Educator to Child Ratio: 1 : 15unless otherwise specified
Child 1
Child 2
Child 3
Parent initial
%
please turn over
Excursions, including regular outings, provide valuable opprortunities for children to explore the wider community and extend the educational program.=
now open from 7am!
School Holiday Program
EXCURSION PERMISSION - ASPENDALE
Parent / guardian statement
I/we being the parent/guardian(s) of the above named child/ren, give consent for participation in all program days as indicated above. In the event of injury or accident, I/we authorise you to obtain medical assistance for my/our child, including ambulance or hospital as required. I/we agree to pay any costs incurred. I/we have read and understand all policies and procedures associated with Kingston’s School Holiday Program and agree to abide by them. I/we understand that a change in circumstance or use of other childcare services may result in further fees payable.
Signed: Date
Dingley Excursion Permission continued
Please tick and sign the excursions your child(ren) will be attending.
Village Cinemas & Bicentennial Park $76
Date: Wednesday 20 January 2016
Destination: Nepean Hwy Cheltenham & Thames Promenade & Scotch Parade, Chelsea
Depart: 8.15am Return: 3.30pm
Transport: Bus
Places available: 55
Educator to Child Ratio: 1 : 15unless otherwise specified
Child 1
Child 2
Child 3
Parent initial
%
form
Excursion Permission
Moorabbin
B
EXCURSION PERMISSION - MOORABBIN
21 December 2015 - 27 January 2016School Holiday Program
Only complete this form if your child(ren) are attending the Moorabbin School Holiday Program excursions.
Child 1 full name:
Child 2 full name:
Child 3 full name:
% Risk Assessments have been prepared for all excursions and are available at the programs
= Excursion times vary, please see details below % Transport for excursions: Bus and Train Daily fee covers cost of transport.
Excursions costs as stated (per child). CCB / CCR discounts (if eligible) will be applied by the enrolment office.
Please tick and sign the excursions your child(ren) will be attending.
Kryal Castle $85
Date: Wednesday 6 January 2016
Destination: 121 Forbes Rd, Leigh Creek
Depart: 8.15am Return: 4.00pm
Transport: Bus
Places available: 60
Educator to Child Ratio: 1 : 15unless otherwise specified
Explore the City in a day $76
Date: Thursday 7 January 2016
Destination: Melbourne City Federation Square
Depart: 8.15am Return: 3.30pm
Transport: Train
Places available: 60
Educator to Child Ratio: 1 : 15unless otherwise specified
Child 1
Child 2
Child 3
Child 1
Child 2
Child 3
Parent initial Parent initial
% %
Basterfield Park & Sausage Sizzle $76
Date: Tuesday 22 December 2015
Destination: Dane Road, Hampton East
Depart: 10.00am Return: 2.00pm
Transport: Bus
Places available: 60
Educator to Child Ratio: 1 : 15unless otherwise specified
Child 1
Child 2
Child 3
Parent initial
% Movies plus choose your afternoon: Basterfield Park or Waves Leisure Centre $76
Date: Tuesday 5 January 2016
Destination: Nepean Hwy Cheltenham, Dane Rd Hampton East and 111 Chesterville Rd, Highett
Depart: 8.15am Return: 3.30pm
Transport: Bus
Places available: 60
Educator to Child Ratio: 1 : 15unless otherwise specified
Child 1
Child 2
Child 3
Parent initial
%
please turn over
Excursions, including regular outings, provide valuable opprortunities for children to explore the wider community and extend the educational program.=
now open from 7am!
EXCURSION PERMISSION - ASPENDALE
Parent / guardian statement
I/we being the parent/guardian(s) of the above named child/ren, give consent for participation in all program days as indicated above. In the event of injury or accident, I/we authorise you to obtain medical assistance for my/our child, including ambulance or hospital as required. I/we agree to pay any costs incurred. I/we have read and understand all policies and procedures associated with Kingston’s School Holiday Program and agree to abide by them. I/we understand that a change in circumstance or use of other childcare services may result in further fees payable.
Signed: Date
Moorabbin Excursion Permission continued
Please tick and sign the excursions your child(ren) will be attending.
Yarra Cruise & Royal Botanic Gardens $85
Date: Thursday 14 January 2016
Destination: Southgate Promenade Berth 5 & Birdwood Ave, Melbourne
Depart: 8.15am Return: 3.30pm
Transport: Train
Places available: 60
Educator to Child Ratio: 1 : 15unless otherwise specified
Rush HQ & Churchill National Park $76
Date: Wednesday 20 January 2016
Destination: 39 Corporate Ave Rowville & Churchill Park Dr, Rowville
Depart: 8.30am Return: 3.30pm
Transport: Bus
Places available: 60
Educator to Child Ratio: 1 : 15unless otherwise specified
Dingley Carnival $76
Date: Thursday 21 January 2016
Destination: Centre Dandenong Rd, Dingley
Depart: 8.30am Return: 3.30pm
Transport: Bus
Places available: 60
Educator to Child Ratio: 1 : 15unless otherwise specified
Werribee Open Range Zoo $80
Date: Tuesday 19 January 2016
Destination: K-road Werribee
Depart: 8.15am Return: 3.30pm
Transport: Bus
Places available: 60
Educator to Child Ratio: 1 : 15unless otherwise specified
Child 1
Child 2
Child 3
Child 1
Child 2
Child 3
Child 1
Child 2
Child 3
Child 1
Child 2
Child 3
Parent initial
Parent initial Parent initial
Parent initial
%
% %
%
Stawberry Farm & Arthurs Seat National Park $85 Date: Tuesday 12 January 2016
Destination: 244 Shands rd, Main ridge & Purves Rd Arthurs Seat
Depart: 8.15am Return: 3.30pm
Transport: Bus
Places available: 60
Educator to Child Ratio: 1 : 15unless otherwise specified
Child 1
Child 2
Child 3
Parent initial
% Imax Cinema & Carlton Gardens $80
Date: Wednesday 13 January 2016
Destination: Rathdowne St, Calton Gardens
Depart: 8.15am Return: 3.30pm
Transport: Train
Places available: 60
Educator to Child Ratio: 1 : 15unless otherwise specified
Child 1
Child 2
Child 3
Parent initial
%
form
Child’s full name(s):
Parent’s name:
Would you like to be contacted about future programs? yes (please provide email address below) no
Email address:
Please tick your sessionsDECEMBER JANUARY
TOTAL DAYS
MON 21
TUE 22
WED 23
THU 24
TUE 29
WED 30
THU 31
MON 4
TUE 5
WED 6
THU 7
FRI 8
MON 11
TUE 12
WED 13
THU 14
FRI 15
MON 18
TUE 19
WED 20
THU 21
FRI 22
MON 25
WED 27
Aspendale Yarrabah School
Bonbeach Primary School
Dingley Primary School
Moorabbin Primary School
Payment options
cheque money order send to PO Box 1000 Mentone VIC 3194
BPay Kingston’s School Holiday Program Administration will provide you with your biller code and reference number on your invoice for payment upon recipt of your enrolment form
Direct debit Please contact us to arrange direct debit
I agree that City of Kingston and its affiliates, or associates, will charge my credit facilities as set out above. I agree to pay for all of the days my child is successfully enrolled, regardless of whether my child actually attends Kingston’s School Holiday Program. I agree that I am liable to pay for all successfully booked days at the time of enrolment.
Parent/guardian signature Date
BOOKING & PAYMENT - DEC 2015/JAN2016
C Booking + Payment21 December 2015 - 27 January 2016School Holiday Program
Office use only
Child’s full name: Parent’s name:
PROGRAM:
Aspendale
Bonbeach
Dingley
Moorabbin
CHILDCARE BENEFIT DETAILS:
CCMS enrolment: formal informal
Parent CCB registered? yes no
CCB %
No. of eligible hours
Has CCB been deducted? yes no
CCR service other
PAYMENT RECIEVED:
cheque money order BPay direct debit
Program fees:
CCR estimated fee:
Late booking fee
Total payment received:
BOOKING STATUS:
Booking complete:
yes no
Payment processed:
yes no
OFFICER DETAILS
Initials
Date
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