Booking Forms

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Booking Forms

WINTER VACATION CARE 2016 Program Dates - Excluding Public Holidays Monday 4 July to Monday 18 Cost For primary school children (K – Year 6). Free. However some excursions and activities will incur a cost. This is outlined in the program attached. Booking forms attached to this program must be Hours completed and submitted for your booking to be 9.30am – 5.30pm processed. Bring If English is not your first language and you would like to use a  Hat telephone interpreter service, please contact 131 450 and ask  Lunch prepared ready to eat, healthy snacks and them to call the City of Sydney on 9265 9333. drinks Se l’inglese non è la tua prima lingua e desideri avvalerti di un  Wet weather gear servizio telefonico di interpretariato, contatta il 131 450 e  Safety gear, i.e. bike helmets chiedi di chiamare la città di Sydney al numero 9265 9333.  If your child is allergic to sunscreen please send your own إذا لم تكن النجليزية لغتك الولي وأردت الستفادة من خدمة الترجمة الشفهية الهاتفية، What to Wear فالرجاء أن تتصل بالرقم 131 450 والطلب منهم التصال ببلدية مدينة سيدني علي Please ensure that your child wears appropriate clothes .الرقم 9265 9333 Если английский не является вашим родным языком и вы to the centre each day, please NO SINGLETS or singlet хотели бы воспользоваться услугами устного перевода по dresses. If your child is dressed inappropriately for the телефону, то, пожалуйста, позвоните по номеру 131 450 и day’s activity or is not dressed appropriately to meet our попросите их позвонить в муниципалитет города Сидней sun smart policy, you may be requested to collect your по номеру 9265 9333. child from the centre or to provide appropriate clothing. Si el inglés no es su primer idioma y desea utilizar un servicio Signing In & Out de interpretación telefónica, póngase en contacto con el 131 y All children must be signed in and out by a parent or solicite que llamen a la Ciudad de Sydney al 9265 9333. guardian and visual contact must be made with a member of staff. Jika bahasa Inggris bukan bahasa pertama Anda dan Anda Absences & Sick Children ingin menggunakan jasa seorang juru bahasa, silakan If you have booked but cannot attend, please notify us as menghubungi 131 450 dan minta agar diteleponkan ke City of soon as possible. Sydney di 9265 9333. Sick children are not permitted to attend the centre as Αν τα Αγγλικά δεν είναι η πρώτη σας γλώσσα και θα θέλατε να they may spread infection. If you need us to administer χρησιμοποιήσετε διερμηνέα στο τηλέφωνο, παρακαλούμε medication to your child, you must complete a τηλεφωνήστε 131 450 και ζητήστε τους να σας καλέσουν την Medication Authority Form which you can get from us. Πόλη του Σύδνεϊ στο 9265 9333. Swimming Excursions Children should be comfortable in the water, be able to Nếu tiếng mẹ đẻ không phải là tiếng Anh và muốn sử dụng swim and dress themselves unassisted. Additionally they dịch vụ thông dịch qua điện thoại, xin quý vị gọi số 131 450 và should be 6 years of age or older. 5 year olds and non- yêu cầu họ gọi cho Thành Phố Sydney điện thoại số 9265 swimmers will be provided shallow water options. 9333. Valuables TTY - Callers who are hearing impaired or have a speech or We are unable to take responsibility for or secure communication impairment may call through the NRS using valuables (including toys, electronic games etc.) or modem or textTel (TTY) by dialling 133 677. money children bring to the centre. Children are Purpose of Collection of Information on this form: To be encouraged to not bring any such items to the centre. considered for a place at our vacation care program for Spending money is optional and is the child’s primary school aged children. responsibility. We cannot guarantee that the program Intended Recipients: Relevant City of Sydney staff concerned with the provision of children’s services. will have time to stop so that any child can buy their Supply of Information: Not legally required. However if lunch. Buying something from a shop cannot be you don’t give us the required information, it will affect our guaranteed. ability to allocate priority to you, or to contact you should a Risk Assessments place become available at the centre. Risk assessments have been conducted for all Access/Correction: To access and correct any information excursions and have been communicated to all provided please contact the Children’s Program Team educators involved in the program. Families can access Leader. these upon request. Storage of document/information: City of Sydney Children’s Programs (on site). MONDAY 4 July Schools Out

NAIDOC WEEK Songlines: The living narrative of our nation.

AM Explore the concept of “Songlines” PM Indigenous Games An Indigenous Twist on Everyday Games TUEDSAY 5 July EXCURSION 5 to 12 years 9.30am – 3:30pm 16 places AM Old School Games Hoyt Cinema Entertainment Qtr Learn some old games like Fly & Dog & the Bone Bent St, Entertainment Qtr Moore Park PM Stich in Time – Sewing STAFF RATIO 2 Educators:16 Children Make your own puppet & create a Puppet Show To Extend on Children’s interest in Drama WHAT TO BRING morning tea, lunch, water bottle, hat COST $17 WEDNESDAY 6 July EXCURSION 5 to 12 years 9:30am-3:30pm 16 places AM Crafty Concoctions Ultimate Family Fun Centre Make your very own Clay Lizard Redland Rd, Northmead PM Games & More STAFF RATIO 2 Educators:16 Children Spend the afternoon playing team games WHAT TO BRING morning tea, lunch, water bottle, socks COST $22 THURSDAY 7 July EXCURSION 8 to 12 years 9:30am-3:30pm 15 places AM Adventures In Art – Wire Sculpture Ice Zoo, Alexandria PM Obstacle Course Gardeners Rd, Alexandria Spend the afternoon being challenged as you work your way through STAFF RATIO 2 Educators:16 Children the obstacle course working as a team. Children will design their own WHAT TO BRING morning tea, water bottle, socks course building on their skills learnt to challenge their peers. COST $23 inc Lunch

FRIDAY 8 July

AM Art Attack - Explore Bark Painting with Ochre Learn about the Symbols of Aboriginal Art & what they represent PM Court Sports Enjoy an afternoon of outdoor games MONDAY 11 July

AM Skipping Games Let’s see if we can learn to Skip Double Dutch These Holidays PM Sketch pad To build on Story Writing Workshops with Story Factory Create you very own Avatar Cartooning Workshop

TUEDSAY 12 July EXCURSION 5 to 10 years 9:30am-3:30pm 15 places AM Paper Mania - Origami time! Little Dynamos, Alexandria Extend on paper Folding skills Enjoyed During Term Maddox st, Alexandria PM T Ball STAFF RATIO 2 Educators:16 Children Just like Baseball but different WHAT TO BRING morning tea, water bottle, socks COST $15 inc Lunch WEDNESDAY 13 July

AM Chef’s R Us Cooking Activity- Savory Delights Prepared for Afternoon Tea PM Oz Tag Our Favourite Game THURSDAY 14 July EXCURSION 7 to 12 years 9:30am- 4.00pm 16 places AM Crafty Kids – Make your own Keep Sake Box Attractivity, Alexandria A Place to put your very special items Bourke Rd, Alexandria PM Boot Camp “Kidz “ Style STAFF RATIO 2 Educators:16 Children Enjoy an afternoon of Boot Camp Style Fitness games & activities WHAT TO BRING morning tea, Lunch, water bottle COST $23.50 FRIDAY 15 July EXCURSION 5 to 10 years 9:30am- 4.00pm 16 places AM Science 101 Sydney Park, St Peters Make a Volcano Erupt & Make some Goo Sydney Park Rd, St Peters PM Hand Ball Competition STAFF RATIO 2 Educators:16 Children Back By Popular demand WHAT TO BRING morning tea, lunch, water bottle, hat, wear closed toe shoes COST Free MONDAY 18 July

Staff Development Day

Redfern Children’s Program Closed Today Booking Forms Child’s Name: Tick all dates and activities you would like to book into: Date of Birth: Monday 4 July 16 □ In-Centre

Age: Tuesday 5 July 16 □ In-Centre □ Excursion Hoyts ($17.00) Parent/Carer’s Name: Wednesday 6 July 16 □ In-Centre □ Excursion Ultimate Family Fun Centre ($22.00) Home phone: Thursday 7 July 16 In-Centre □ Excursion Ice Zoo ($23.00) Mobile phone: Friday 8 July 16 □ In-Centre

Work phone: Monday 11 July 16 In-Centre □ Excursion

Email: Tuesday 12 July 16 □ In-Centre □ Excursion Little Dynamo’s ($16.00) Release and Indemnity from the Parent/Carer Wednesday 13 July 16 □ In-Centre to allow participation for children under 18 years of age. Thursday 14 July 16 □ In-Centre □ Excursion I have read the “Excursion Information for Attractivity Parents/Carers” and acknowledge that I/my child will be ($23.50) exposed to all normal risks associated with participation Friday 15 July 16 □ In-Centre □ Excursion in this programme. If my participation or my child’s Sydney Park participation is accepted I hereby indemnify Council, it’s Officers and Agents and keep them indemnified against Monday 18 July 16 Closed all claims, demands, actions and liabilities of any kind, (other than as a direct result of negligence of Council, it’s Officer’s or Employees). In the course of participation or attendance I authorise Council, its Officers and Agents in the event of an accident or illness to obtain such medical and hospital assistance as required and agree to meet any and all expenses thereby incurred. I understand that my signatures below are providing permission to participate in the activity as detailed above, and below for the person(s) under my care. Additionally I give permission for my child/ren to attend excursions to the local park during this holiday period and understand that the decision to attend a local park is made on the day and that I will not be further notified.

Signature: ______

Date: ______OFFICE USE ONLY Received date: Received by: Entered QikKids date:

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