Glenaeon OOSH Services – Holiday Care Booking Form

121 Edinburgh Road, Castlecrag, & 5a Glenroy Ave, Middle Cove, NSW 2068

Step 1:If you are NOT already enrolled at Glenaeon OOSH Service please go enrol. If you have previously enrolled please DO NOT enrol again. Just complete steps 2 to 4.

Step 2: Please complete the booking form below.

No need to check availability as bookings are made on a first come, first served basis and will be confirmed by email.

Step 3: Please make payment in advance by Netbank Transfer to secure your child’s booking (Refund will be made if NO space available)

(Laivoi Pty Ltd BSB: 062 295A/C: 10372248(Use your child’s FULLNAME as reference)

Step 4: Email this booking form to oremail us your dates and bring this form with you on the first day of care.

Family Name: ______Email: ______

Child Name / DOB / School / Class/Year / Sex
1.
2.
3.
Parent Name / Mobile / Email / Other Contact Details
1.
2.

Days to Attend Care (circle)

Fri 22ndSept
$75
Spring Craft
Mon 25th Sept / Tue 26thSept / Wed 27thSept / Thur 28thSept / Fri 29th Sept
$75
Weird Science / $95
Bush Ranger Excursion / $80
Spring Planting & Art / $75
Kite Making / $75
Pond Skimming
Seniors / $75
Science Discovery / $95
Bush Ranger Excursion / $80
Spring Wood Craft / $75
Wheels Day / $75
Bush & Chill Zone
Mon 2nd Oct / Tue 3rdOct / Wed 4thOct / Thur5thOct / Fri 6thOct
CLOSED / $80
Art & Craft / $75
Clay & Nature Day / $75
Spring Fair Day / $75
Bush Fun Day
Seniors / CLOSED / Seniors SkyZone
$95 / Seniors Campout
LANE COVE
$80 / $75
Seniors Drama Fun
(optional) / $75
Bush Challenge & Art

TOTAL $______NON REFUNDABLEpayment required to secure booking.

Payments byNetbank Transfer ONLY to:Laivoi Pty LtdBSB: 062295 A/C: 1037 2248(Use child’s FULLname as ref)

Special Requirements / Allergies …………………….………………………………… Separate details attached Y/N

Emergency Contact/ Authorised to collect the child(OTHERthan parents)

Name ______Relationship to child ______ContactMobile ______

I give permission for the following for my child/ren:

  • To be taken on public or hired transport for excursionsYes / No
  • For First Aid to be rendered when necessaryYes / No
  • Tobe on the Glenaeon Middle Cove Campus as an excursion Yes / No
  • Tobe taken on local walksto nearby parks & playgrounds.Yes / No
  • Tobe photographed for promotional purposesYes / No

Parent Signature______Date______

For Enrolment & further details: Email completed form to :

Children must bring HAT, water bottle, morning tea, lunch, and afternoon tea - NO NUTS please!! WEAR ENCLOSED SHOES. Pickup 5:25pm

Glenaeon VAC Booking Form Sept-Oct17CPage 1 of 1