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 Monday the 21st of September through to Friday the 2nd of October) 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 Friday the 11th September, 2015.

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.

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

No late enrolment forms will be accepted.
Cambridge Primary School

OSHC Program

0475 973 325 (7am – 6.30pm)

Vacation Care Program

Enrolment Application

Program Dates:

Monday, 21st September 2015 - Friday, 2nd October 2015

Program Hours: 7.00 am to 6.30 pm

Please note: A Late pick – up fee of $1.00 per minute will 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 for Child 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 in to the school office or to the OSHC staff, NO LATER than 5.00 pm on FRIDAY, 11TH SEPTEMBER 2015.

Please Note: Late enrolments will not be accepted.

CAMBRIDGE PRIMARY SCHOOL OSHC

VACATION CARE PROGRAM

Please complete details in BLOCK LETTERS

Family Name: ______*Family CRN:______

Child/children’s name: / 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: ______

Please list two other people who are authorised to collect your child/children:

Name / Address / Telephone / Relationship to Child / Children
Home:
Work:
Mobile:
Home:
Work:
Mobile:

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

Week ONE / MONDAY
21/09/15 / *TUESDAY
22/09/15 / *WEDNESDAY
23/09/15 / THURSDAY
24/09/15 / FRIDAY
25/09/15
Week TWO / *MONDAY
28/09/15 / *TUESDAY
29/09/15 / *WEDNESDAY
30/09/15 / THURSDAY
01/10/15 / FRIDAY
02/10/15
(To Be Advised –Public Holiday?)

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

Vacation Care Program

MCG – WALKING GUIDE AND SPORTS MUSEUM / INTERACTIVE EXCURSION - WEDNESDAY, 23RD SEPTEMBER, 2015

Wednesday 23rd September, 2015, the Vacation Care Program is going on an excursion to the MCG.

Our agenda is as follows:

· 8.30 am Children must arrive at the Program BY THIS TIME

· 9.15 am sharp Depart Cambridge Primary School OSHC Program by bus

· 10.15am Arrive at MCG, Melbourne

· 10.30am -11am Snack time, prepare our 3 groups for tours

· 11am Guided tours, museum and interactive tour begins

· 1.30pm Lunch

· 2.00pm Depart MCG, Melbourne

· 3.00pm approx Arrive Cambridge Primary School OSHC Program

Please complete the Permission Slip below and return it by Friday, 11th September. 2015.

MCG EXCURSION Wednesday 23rd September, 2015

PLEASE USE BLOCK LETTERS

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

______

to attend the MCG EXCURSION on Wednesday, 23rd September, 2015 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: ____/____/____

MOVIES – SUN THEATRE EXCURSION Wednesday 30th September, 2015

TIMES ARE APPROXIMATE

· 8.45 am Children must arrive at the Program BY THIS TIME

· 9.15 am Depart Cambridge Primary School OSHC Program by bus

· 9.45 am Arrive at Sun Theatre, Yarraville

· 12.30 pm Depart Sun Theatre, Yarraville

· 1.00 pm Arrive Cambridge Primary School OSHC Program

· 1.15 pm Lunch time

· 1.45 pm Commence normal activities until finish time of 6.30pm

MOVIES – SUN THEATRE, YARRAVILLE Wednesday 30th September, 2015

PLEASE USE BLOCK LETTERS

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

______

to attend the Movies, Sun Theatre Excursion on Wednesday 30th September, 2015, 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

PLEASE PROVIDE DOCTOR’S NAME AND CONTACT NO:

Doctor: ______Phone: ______

PLEASE PROVIDE TWO EMERGENCY CONTACT NOS FOR THIS DAY:

1 / 2

SIGNATURE: ______DATE: ____/____/____