<p> Glenaeon OOSH Services – Holiday Care Booking Form 121 Edinburgh Road, Castlecrag, & 5a Glenroy Ave, Middle Cove, NSW 2068 (www.glenaeonoosh.com.au) Step 1: If you are NOT already enrolled at Glenaeon OOSH Service please go https://glenaeonooshservices.hubworks.com.au/ and enrol. Step 2: Please complete the booking form below. Step 3: Please make payment in advance by Netbank Transfer to secure your child’s booking (Refund will be made if NO space available) (Laivoi Pty Ltd BSB: 062 295 A/C: 1037 2248 (Use your child’s FULL NAME as reference) Step 4: Email this booking form to [email protected] or email us your dates and bring this form with you on the first day of care. Family Name: ______Email: ______</p><p>Child Name DOB School Class/Year Sex 1. 2. 3. 4.</p><p>Parent Name Mobile Email / Other Contact Details 1. 2. Days to Attend Care (circle) 2017 Thur 6 th Apr Fri 7 th Apr Games & Wool Art Easter Craft $70 $75 CASTLECRAG CASTLECRAG Mon 10 th Apr Tue 11 th Apr Wed 12 th Apr Thur 13 th Apr Fri 14 th Apr Clay Sculpture Indigenous Craft Nature Walk & Baking Easter Fair & Egg Hunt $75 $75 $75 $70 CLOSED Seniors Potter’s Wheel Bush & Raft Building Street Art Easter Fair & Sport Day $75 $75 $75 $70 CLOSED CASTLECRAG CASTLECRAG CASTLECRAG CASTLECRAG Mon 17 th Apr Tue 18 th Apr Wed 19 th Apr Thur 20 th Apr Fri 21 st Apr Clay Sculpture Watercolour Wonder Fabric Art Great Cubby CLOSED $75 $70 $75 Challenge $70 Seniors Potter’s Wheel Outdoor Adventure Fabric Design & Sports Bush Challenge CLOSED $75 $85 Day $70 $75 CASTLECRAG CASTLECRAG MIDDLE COVE MIDDLE COVE</p><p>TOTAL $______NON REFUNDABLE payment required to secure booking Payments by Netbank Transfer ONLY to: Laivoi Pty Ltd BSB: 062 295 A/C: 1037 2248 (Use child’s FULL name as ref) Special Requirements / Allergies …………………….………………………………… Separate details attached Y/N Emergency Contact/ Authorised to collect the child (OTHER than parents) Name ______Relationship to child ______Contact Mobile ______I give permission for the following for my child / ren:  To be taken on public or hired transport for excursions Yes / No  To be around streams and shallow water fully supervised Yes / No  To be on the Glenaeon Middle Cove Campus as an excursion Yes / No  To be taken on local walks to nearby parks & playgrounds. Yes / No  To be photographed for promotional purposes Yes / No Parent Signature______Date______</p><p>0ab017e1259f05da503057e2c1ffa055.docx Page 1 of 2 Glenaeon OOSH Services – Holiday Care Booking Form 121 Edinburgh Road, Castlecrag, & 5a Glenroy Ave, Middle Cove, NSW 2068 (www.glenaeonoosh.com.au) For Enrolment & further details: www.glenaeonoosh.com.au Email completed form to: [email protected]</p><p>Children must bring HAT, water bottle, morning tea, lunch, and afternoon tea - NO NUTS please!! Wear enclosed shoes. PLEASE NOTE: Service closes at 5:30pm sharp. A LATE FEE will be charged after 5:30pm.</p><p>0ab017e1259f05da503057e2c1ffa055.docx Page 2 of 2</p>