SCHOOL CARE (OSHC) PROGRAM 2010
CONFIDENTIAL STUDENT INFORMATION
ENROLMENT AND FAMILY DETAILS
CHILDS NAME______DOB______CRN______
CHILDS NAME______DOB______CRN______
CHILDS NAME______DOB______CRN______
PARENT/GUARDIAN______DOB______CRN______
ADDRESS______
PHONE NUMBERS Work______Home______Mobile______
EMAIL______
CUSTODY DETAILS-Are there particular access/custody arrangements? YES _____ NO _____
If yes please attach any custody arrangements to enrolment form.
EMERGENCY CONTACTS - If we can not contact you or you are unable to collect your child/ren.
1.______PH______RELATIONSHIP______
2.______PH______RELATIONSHIP______
AUTHORISED PERSON/S – For collection of your child/ren
1.______RELATIONSHIP______
2.______RELATIONSHIP______
NOTE- ALL CHILDREN MUST BE PICKED UP BY AN AUTHORISED ADULT.
Eg Parent, guardian, carer and emergency contact. Other person’s MUST have written permission by a parent and be over the age of 18 years old.
MEDICARE NUMBER______HEALTH CARE PROVIDER______
HAS YOUR CHILD BEEN IMMUNISED? YES□ NO□
LIST ANY KNOWN ALLERGIES OR ILLNESSES AND NECESSARY TREATMENTS.
ALLERGIES/ILLNESSES TREATMENTS
______
DISABILITIES/OTHER INFORMATION
Does your child have difficulties or disability that requires additional assistance in order for them to be able to attend and participate in the program? Yes _____ No _____
If YES please explain ______
______
LIST ANY DIETRY REQUIREMENTS ______
CULTURAL INFORMATION- Language spoken at home______
Relevant Cultural details eg food, activities etc:______
DECLARATION
I______declare that the above information is true and correct and give permission for my child/ren to attend the San Remo Primary School Outside School Hours care program. I do not hold the San Remo Primary School Council, or any of its employees, responsible for any illness or injury to my child/ren, or for the loss or damage to the children’s property that may be incurred during the program. In the event of illness or injury to my child/ren, I give permission where it is impractical to communicate with me, to consent to emergency medical arrangements on my behalf as is deemed necessary by a qualified practitioner and I will accept financial responsibility for such action of the Childcare staff. I understand that staff will take photographs/videos of the children as part of the program which will include displaying them at the school or placing in a book for viewing by other parents and children visiting the OSHC room.
I give permission for my child/ren to view the occasional PG movie. YES□ NO□
I give permission for my child/ren to have their face painted. YES□ NO□
I give permission for my child/ren’s photos to be displayed at OSHC/School. YES□ NO□
I give permission for my child/ren to participate in local walk excursions. YES□ NO□
I______
(Signature of Parent/Guardian) (Date)
PLEASE BOOK MY CHILD/REN INTO THE OSHC PROGRAM AS A PERMANENT BOOKING: -
MONDAY BSC□ ASC□ THURSDAY BSC□ ASC□
TUESDAY BSC□ ASC□ FRIDAY BSC□ ASC□
WEDNESDAY BSC□ ASC□
To claim the rebate from Centrelink please call the Centrelink office on 136150 and quote the following CRN numbers as the service provider for your children.
Combined BSC & ASC 555008317C
Vacation Care 407123103A
PROGRAM VENUE AND HOURS OF OPERATION
This is a non-profit activity of the San Remo Primary School Council, primarily to cater for the childcare needs of parents who are working, studying, or training to re-enter the workforce or actively seeking employment. Casual use is available if places exist.
The program operation hours are:
Before School Care 7:00am - 8:45am
After School Care 3:30pm - 6:00pm
This service operates on pupil free days as required.
All Services are provided in the San Remo Primary School OSHC room at:
22 Bergin Grove , San Remo Vic 3925
TELEPHONE NUMBERS
(03) 56785354 or 0447751185
It is intended that the program will compliment the School’s activities and be consistant with its philosophy.
The program aims to provide
· A safe, caring and positive atmosphere
· A range of stimulating indoor and outdoor activities
· A nutritious snack and drink. (Breakfast if required at BSC).
STAFF
Program ratio for staff is 1 adult – 15 children
BOOKINGS
To ensure a place and enable smooth operation of the program, families must give 24 – 48 hours notice of occasional or part time care requirements (ie any varying days each week/fortnight/month). Messages can be left in the general office well in advance. Absences should be notified as soon as possible. Please be considerate of staff in this regard as misuse of the system will cause difficulties for other parents. Please note that cancellations are required by 1:00pm on the day to be cancelled or you will be charged a session fee.
THE CHILDREN’S RESPONSIBILITY
Normal School behaviour is expected during the time of care. This includes respect for self, others and property. The children are responsible for their own property bought into the service and San Remo Primary School OSHC will not be responsible for damage or loss.
THE FAMILIES RESPONSIBILITY
Parents, emergency contacts or adults with written permission, must be responsible for collection of the children from the program by 6:00pm. A penalty of $1 per minute, per child, will be incurred for lateness. It is essential for families to report to staff when collecting the children, to avoid confusion.
No child can be accepted for care unless a current enrolment form is in the possession of the program staff. Changes to any information included on the enrolment form must be made known to the OSHC staff immediately.
INSURANCE
As employees of the School Council childcare workers are covered for insurance and Work care. The children are not covered and it is the parent’s responsibility.
FEES
Parents are reminded they can receive Child Care benefits (CCB). If you are eligible see the Coordinator for information and to obtain an application form.
BSC $7.00 7:00am – 8:45am ASC $9.50 3:45pm – 6pm
To claim the rebate from Centrelink please call the Centrelink office on 136150 and quote the following CRN numbers as the service provider for your children.
Combined BSC & ASC 555008317C Vacation Care 407123103A