AUTUMN 2017 - ACTIVITY BOOKING FORM
HOW TO BOOK:
1. Select a maximum of 3 activities per young person.
2. Call 1300 368 333 to reserve a place in the selected activities after bookings open.
3. Record your Booking Reference Number in the space provided.
4. Take your completed forms and payment to a Community Link within 7 days of your phone booking to finialise the process.
Booking Details
Please indicate below which activities the young person has booked in for, as well as the location where the young person will be joining the program.
Participant’s Full Name:
Transport Options: LD = Lilydale UW = Upwey HV = Healesville YJ = Yarra Junction
Date / Activity & Cost / Please book me in!(Initial below to indicate your selected activities) / Transport
(please circle the location where you will join the holiday program) / Amount Payable
Mon 3rd / Trail Ride / LD YJ HV UW
Tues 4th / Rock Climbing / LD YJ HV
Wed 5th / Goodlife Farm / LD HV YJ
Mon 10th / Uke Class / LD YJ HV
Wed 12th / River Rafting / LD YJ HV UW
Thurs 13th / Escape Rooms / *LD only // no other transports
Total Cost / $
SUPERVISION
· When booking your young person into activities, please note that Yarra Ranges Council does not provide direct individualised supervision of young people during holiday programs (unless specifically requested due to additional needs).
· Young people will be given the freedom to explore the venues we attend (within boundaries set by staff), usually in small groups. Participants will be given a wristband with staff contact numbers and a map (where applicable). Participants will also be required to meet at certain times throughout the activity to check in.
· A minimum supervision ratio of 1 staff to 10 young people will apply, with a minimum of two staff present for all activities (including transport).
Please sign below to acknowledge that you have read the supervision policy and agree for your child to participate in the selected activities. Please contact Yarra Ranges Council on 1300 368 333 if you have any questions.
Parent/Guardian Signature:
OFFICE USE ONLY:Code: YHP / Date Paid: / Receipt #:
Community Link staff: Please forward this page and the participant consent form to Youth Services Chapel Street