Please Choose Your Days Carefully

OSHC Program

0475 973 325 IMPORTANT INFORMATION:

Please choose your days carefully.

All LATE and NON CANCELLATIONS for Vacation Care (from Tuesday the 29th March, 2016 through to Friday the 8th April, 2016) will still incur normal charges.

A $50 deposit per family (which will be deducted off your account) needs to be paid on enrolment. This will secure a spot for your child and also assist with final numbers for incursions, excursions and staffing arrangements.

Enrolments need to be handed in by no later than

Thursday the 17th March, 2016.

Please make sure that your child/ren has enough food and drinks for the day as we do not supply breakfast or lunch for Vacation Care.

PLEASE NOTE: AS WE FOLLOW THESUNSMART POLICY, NO THONGS OR SINGLETS ALLOWED.

If you require any further details, please do not hesitate to call on: 0475 973 325

No late enrolment forms will be accepted.

Vacation Care Activities

Monday 28/3/16 / Tuesday 29/3/16 / Wednesday 30/3/16 / Thursday 31/3/16 / Friday 1/4/16
PUBLIC HOLIDAY –
CLOSED.. / TREASURE HUNT (EASTER THEMED)
We will be having a fun treasure hunt you are more than welcome to wear your bunny ears!! / SOVEREIGN HILL – BALLARAT
Children will be learning to pour gold, gold panning at the Creek followed by a Red Hill Mine Tour
Limited spaces available / LAZY DAY IN
Children will have a relaxing day with some movies and Popcorn. Other activities will be provided / SHRINE OF REMEMBRANCE
Children will enjoy a day out here, with a self -guided tour as well as lunch in the beautiful gardens.
Limited spaces available
Cost $50 / Cost $55 / Cost $50 / Cost $55
Monday 4/4/16 / Tuesday 5/4/16 / Wednesday 6/4/16 / Thursday 7/4/16 / Friday 8/4/16
CHILDREN’S CHOICE OF ACTIVITIES DAY
Children can decide on what they would like to create or what sporting activity they would like to participate in – with materials and sporting equipment available / INFLATABLE WORLD
Children will enjoy a jam packed morning here hot chips provided (please still provide sufficient food) / FASTPACE CLOWNS
It’s party Time!! Lots of clown fun, face painting and balloons. / MOVIES – SUN THEATRE, YARRAVILLE
EXCURSION
Children will enjoy a movie with popcorn and a drink. Movie will be Kung Fu Panda 3 / BAKING/COOKING DAY
Get your chef’s hats on and enjoy a day of baking!
Cost $50 / Cost $55 / Cost $55 / Cost $55 / Cost $50

Cambridge Primary School

OSHC Program

0475 973 325 (6.45am –6.45pm)

Vacation Care Program

Enrolment Application

Program Dates:

Tuesday the 29th March 2016– Friday the 8th April 2016

Program Hours: 6.45am to 6.45pm

Please note:A Late pick – up fee of $1.00 per minutewill apply

Cost:

$50.00 per day per child for non excursion days

$55.00 per day per child for excursion and incursion days

This cost will apply for families who do not register forChild Care Benefit (CCB)

For families wanting to claim the lump sum through the Family Assistance Office

Please note:Full fees will be charged if you do not register for child care benefit with the family Assistance Office on 136150

Completed enrolment form needs to be handed into the school office or to the OSHC staff,NO LATER THAN 5.00 pm on THURSDAY, 17TH MARCH 2016.

Please Note: Late enrolmentswill not be accepted.

CAMBRIDGE PRIMARY SCHOOL OSHC

VACATION CARE PROGRAM

Please complete details in BLOCK LETTERS

Family Name: ______*Family CRN:______

Child/children’sname: / Customer Reference No / Sex / Age / Date of Birth / Grade

Mother’s Details:

Name:______D.O.B: ____/____/____

Mobile No:______

Home Address:______

______Post Code: ______

Home Phone No: ______

Place of Work: ______Phone No: ______

Hours:______

Fathers Details:

Name:______D.O.B: ____/____/____

Mobile No:______

Home Address:______

______Post Code: ______

Home Phone No: ______

Place of Work: ______Phone No: ______

Hours:______

Guardians Details:

Name:______D.O.B: ____/____/____

Mobile No:______

Home Address:______

______Post Code: ______

Home Phone No: ______

Place of Work: ______Phone No: ______

Hours:______

Pleaselist twootherpeoplewho are authorised to collect your child/children:

Name / Address / Telephone / Relationshipto Child / Children
Home:
Work:
Mobile:
Home:
Work:
Mobile:

Daysof care required:Please Circle Days Required*Cost for these days is $55.00

Week ONE / MONDAY
PUBLIC HOLIDAY / TUESDAY / *WEDNESDAY
Limited spaces available / THURSDAY / *FRIDAY
Limited spaces available
Week TWO / MONDAY / *TUESDAY / *WEDNESDAY / *THURSDAY / FRIDAY

Confidential Medical Report:

This report is compiled to assist us with any eventuality with the child. All information is held in confidence.

Please tick if your child suffers from the following:

Anaphylaxis:YES  NO Detail: ______

Allergies:YES  NO Detail: ______

Asthma:YES  NO Detail:______

Medical Condition:YES  NO Detail:______

Does your child take prescribed medication that needs to be administered?

YES  NO Detail:______

A Medical Form must be completed daily at the Program by the Parent/Guardian.

Does your child / ren have any additional needs:

YES  NO Detail:______

Does your child / ren have any specific needs or special circumstances that we should be aware of: YES  NO  Detail: ______

Family Doctor: ______Phone No: ______

Address:______

______Post Code: ______

Vacation Care – Enrolment Form 2015

Privacy Notification

Cambridge Primary School Out of School Hours Care Program is collecting the personal/health information on this form as per accreditation requirements

The personal/health information will be solely used by the Program and the Family Assistance Office (where the family has requested a Childcare Benefit rebate). This information shall remain private and confidential within the Program and will only be disclosed to other persons or agencies as consented to by the authorized parent/guardian or in an emergency situation.

The applicant understands that the personal/health information provided is for the Program’s accreditation requirements and that they apply in writing to the Program for access and/or amendment of the information.

Parental/Guardian Consent

I consent to the personal/health information collected on this form and advise that all my emergency contactslisted have been notified and have given permission for their details to be provided

SIGNED______DATE____/____/____

Parent/Guardian

PARENTAL/GUARDIAN DECLARATION

I approve of my child/children’s involvement in the Cambridge Primary School Out of School Hours Care Program.

I authorise staff, in the event of an accident or illness, toobtain all necessary medicaland treatment assistance and agree to meet all expenses incurred, including the transportation of my child by an ambulance service.

I agree that the Program and staff are to be free and clear of all responsibility whatsoever for accident/illness, damage, theft of clothing or valuables during my child/children’s participation in any activities involved in the Program.

I agree that the information on this form iscorrect to the best of my knowledge.

SIGNED:______DATE ___/___/____

Parent/Guardian

Vacation Care Program

SOVEREIGN HILL – BALLARAT - WEDNESDAY30TH MARCH, 2016

Wednesday 30TH March 2016, the Vacation Care Program is going on an excursion to Sovereign Hill Ballarat.

Our agenda is as follows:

7.45am - 8am Children must arrive at the Program BY THIS TIME
8.30am SHARP Depart Cambridge Primary School OSHC Program by bus
10am Arrive at Sovereign Hill, Ballarat
2.30pm Depart Sovereign Hill, Ballarat
4.00pm approx Arrive Cambridge Primary School OSHC Program

Please complete the Permission Slip below and return it by Thursday 17th March, 2016.

SOVEREIGN HILL BALLARAT – WED 30TH MARCH

PLEASE USE BLOCK LETTERS

IGIVE PERMISSION for my child / children, listed below:

______

to attend the SOVEREIGN HILL on Wednesday, 30TH March, 2016 and for the Program Co-Ordinator in charge of the excursion to consent, where it is impracticable to communicate with me, to my child / children receiving such surgical or medical treatment as may be deemed necessary.

Please indicate if any of the following are relevant to your child:

CHILD’S NAME & DETAILS

Allergy
Particularly Anaphylaxis or Bee Sting
PLEASE LIST / YES / NO
Breathing Disorder / Particularly Asthma
PLEASE LIST / YES / NO
Dietary Requirements
PLEASE LIST / YES / NO
Medication required on the day
PLEASE LIST / YES / NO
Other relevant information
PLEASE LIST / YES / NO

PLEASE PROVIDE DOCTOR’S NAME AND CONTACT NO:

Doctor: ______Phone: ______

PLEASE PROVIDE TWO EMERGENCY CONTACT NOS FOR THIS DAY:

1 / 2

SIGNATURE:______DATE:____/____/____

SHRINE OF REMEMBRANCE - FRIDAY 1ST APRIL, 2016

Friday 1st April, 2016, the Vacation Care Program is going on an excursion to Shrine of Remembrance, Melbourne.

Our agenda is as follows:

TIMES ARE APPROXIMATE

8.30 amChildren must arrive at the Program BY THIS TIME
9.00 amDepart Cambridge Primary School OSHC Program by bus
10.30 amArrive at Shrine of Remembrance, Melbourne
2.30 pmDepart Shrine of Remembrance, Melbourne
4.00 pm approxArrive Cambridge Primary School OSHC Program

SHRINE OF REMEMBRANCE - FRIDAY 1ST APRIL, 2016

PLEASE USE BLOCK LETTERS

I GIVE PERMISSION for my child / children, listed below:

______

to attend theShrine of RemembranceonFriday the 1st of April, and for theProgramCo-Ordinator in charge of the excursion to consent, where it is impracticable tocommunicate with me, to my child / children receiving such surgical or medical treatment as may be deemed necessary.

Please indicate if any of the following are relevant to your child:

CHILD’S NAME & DETAILS

PLEASE PROVIDE DOCTOR’S NAME AND CONTACT NO:

Doctor: ______Phone: ______

PLEASE PROVIDE TWO EMERGENCY CONTACT NOS FOR THIS DAY:

1 / 2

SIGNATURE:______DATE: ____/____/____

INFLATABLE WORLD – WERRIBEE - TUESDAY 5TH APRIL, 2016

Tuesday 5th April, 2016, the Vacation Care Program is going on an excursion to Inflatable World, Werribee.

Our agenda is as follows:

TIMES ARE APPROXIMATE

8.30amChildren must arrive at the Program BY THIS TIME
9.15 amDepart Cambridge Primary School OSHC Program by bus
9.45 amArrive at Inflatable World, Werribee
1.15 pmDepart Inflatable World, Werribee
1.45pm Arrive Cambridge Primary School OSHC Program
2.00pm Commence normal activities until finish time of 6.45pm

INFLATABLE WORLD, WERRIBEE Tuesday 5th April, 2016

PLEASE USE BLOCK LETTERS

I GIVE PERMISSION for my child / children, listed below:

______

to attend theInflatable World, WerribeeonTuesday 5th April, 2016and for theProgramCo-Ordinator in charge of the excursion to consent, where it is impracticable tocommunicate with me, to my child / children receiving such surgical or medical treatment as may be deemed necessary.

Please indicate if any of the following are relevant to your child:

CHILD’S NAME & DETAILS

PLEASE PROVIDE DOCTOR’S NAME AND CONTACT NO:

Doctor: ______Phone: ______

PLEASE PROVIDE TWO EMERGENCY CONTACT NOS FOR THIS DAY:

1 / 2

SIGNATURE:______DATE: ____/____/____

MOVIES – SUN THEATRE EXCURSION - Thursday 7th April, 2016

Thursday 7th April, 2016, the Vacation Care Program is going on an excursion to Sun Theatre, Yarraville.

Our agenda is as follows:

TIMES ARE APPROXIMATE

8.45 amChildren must arrive at the Program BY THIS TIME
9.15 amDepart Cambridge Primary School OSHC Program by bus
9.45 amArrive at Sun Theatre, Yarraville
12.30 pmDepart Sun Theatre, Yarraville
1.00 pmArrive Cambridge Primary School OSHC Program
1.15 pmLunch time
1.45 pmCommence normal activities until finish time of 6.45pm

MOVIES – SUN THEATRE, YARRAVILLE Thursday 7th April, 2016

PLEASE USE BLOCK LETTERS

I GIVE PERMISSION for my child / children, listed below:

______

to attend theMovies, Sun Theatre ExcursiononThursday 7th Apriland for theProgramCo-Ordinator in charge of the excursion to consent, where it is impracticable tocommunicate with me, to my child / children receiving such surgical or medical treatment as may be deemed necessary.

Please indicate if any of the following are relevant to your child:

CHILD’S NAME & DETAILS

PLEASE PROVIDE DOCTOR’S NAME AND CONTACT NO:

Doctor: ______Phone: ______

PLEASE PROVIDE TWO EMERGENCY CONTACT NOS FOR THIS DAY:

1 / 2

SIGNATURE:______DATE: ____/____/____