First Creek Wetland, Botanic Gardens

CONSENT FORM

First Creek Wetland, Botanic Gardens I give permission for my child/ren ______to travel by private bus to First Creek Wetland on 29th September 2014. Children are to be at the service by 8:30am and returning to the service by approx. 2.30pm.

Signed______……………………………………………………………………………… ... Semaphore Movies I give permission for my child/ren ______to travel by private bus to the Semaphore Cinemas on 1st October 2014. Children are to be at the service by 8:30am and returning to the service by approx. 2.30pm.

Signed______(movies to be advised) ……………………………………………………………………………… ... Burnside Adventure Playground I give permission for my child/ren ______to travel by private bus to Burnside Adventure Playground on 3rd October 2014. Children are to be at the service by 8:30am and returning to the service by approx. 2.30pm.

Signed______……………………………………………………………………………… ... Game Room Essentials I give permission for my child/ren ______to travel by private bus to the Game Room Essentials on 7th October 2014. Children are to be at the service by 8:30am and returning to the service by approx. 2pm.

Signed______……………………………………………………………………………… ... Gorge Wildlife Park I give permission for my child/ren ______to travel by private bus to Gorge Wildlife Park on 10th October 2014. Children are to be at the service by 8:30am and returning to the service by approx. 3pm.

Signed______Please note the following details:  Transportation: Southlink Bus Company  The staff/ child ratio will be met at all times  The maximum number of children attending the excursion will not exceed 70  A risk assessment has been prepared and is available at the service

Signed: ______SEMAPHORE MOVIE CINEMAS COMBOS

COMBO 1: Small popcorn & small drink

COMBO 2: Small drink & 50gm chips (Plain, Salt & Vinegar, Chicken or Barbeque)

COMBO 3: Small drink & chocolate bar (Mars bar, Kit kat, M&M’s, Starburst or Skittles)

Drink Flavours Pepsi Pepsi Max Lemonade Solo Sunkist Red Creaming Soda

Please indicate what combo your children would like if any. The price for each combo is $5.00 this cost will be added on to your Vacation care account as no money will be accepted on the day. This is to ensure that combo items are ready for us when we arrive. Thank you for your assistance

Please turn over for your combo booking form. ……………………………………………………………………………...... Please attach to booking form

Child’s name………………………………………………………..

Combo number chosen……………………….

Drink flavour…………………………

Chip flavour………………………….

Chocolate ……………..…………….

Movie Choice………………………..

Child’s name………………………………………………………..

Chocolate ……………..…………….

Child’s name………………………………………………………..

Chocolate ……………..…………….