Wednesday 20 th December. Mini Ninja Warrior. Wednesday 10 th January. Karate & Multisport. Wednesday 17 th January. Cup. Wednesday 24 th January

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Mary Edwards
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18 th December 19 th December Wednesday 20 th December 21 st December 22 nd December Multisport Gala Mini Ninja Warrior Football World Cup Hip Hop Dance & Multisport 8 th January 9 th January

1 18 th December 19 th December Wednesday 20 th December 21 st December 22 nd December Multisport Gala Mini Ninja Warrior Football World Cup Hip Hop Dance & Multisport 8 th January 9 th January Wednesday 10 th January 11 th January 12 th January Mini Ninja Warrior & Karate Laser Warriors Hip Hop Dance, Karate & Multisport 15 th January 16 th January Wednesday 17 th January 18 th January 19 th January Football World Cup Bricks 4 Kidz Laser Warriors 22 nd January 23 rd January W Wednesday 24 th January 25 th January 26 th January Bricks 4 Kidz Mini Ninja Warrior & Jiu Jitsu Multisport Gala PUBLIC HOLIDAY LASER WARRIORS BASKETBALL SKILLS MINI NINJA WARRIOR FOOTBALL WORLD CUP SKATER HQ MULTISPORT GALA DAY BRICKS 4 KIDZ HIP HOP DANCE & MULTISPORT Come join in the action and thrill of laser tag. Playing a couple of challenging objective style missions such as King of the Hill and Capture the Flag, players can show off their sharp shooting skills. To finish the day, we will play a range of fun sports and games. Develop key fundamental basketball skills that will lay a solid foundation for a basketball player. Our program is action packed and full of fun. Pizza lunch is included on this day. Become a Ninja for the day with a martial arts session and run on our ninja assault course. Run, jump, roll and balance your way through, trying to be the quickest ninja on the course. This day will also include some multisport fun. The world game tournament where players wear the colours of their heritage. Dividing the players into small teams and playing in round robin format, everyone will get to play for the title of champions of the world. Join our friends from and have a go at skateboarding, scootering and inline skating. All gear and protective equipment is provided for the session. This day will also include some fun and games in the afternoon Come along to our fun Multisport Gala. We go through a range of sports throughout the day including basketball, netball, futsal and more. BBQ lunch provided. Join our friends from Bricks 4 Kidz for some fun and educational building projects that inspires creativity. In the afternoon, enjoy a mini Olympics with some Olympic inspired events. Enjoy a Hip Hop dance session from our new partners; Northern Beaches Dance Co, as well as some martial arts fun from our Karate partners. while also playing a range of sports throughout the day.

2 Important information: Please return the enclosed enrolment form to the PCYC Northern Beaches as soon as possible. Places are limited and will book out. If attending any days- a separate waiver must be completed- please see staff if not attached to this enrolment pack. Forms can be submitted by either handing them into the club, or ing them to northernbeaches@pcycnsw.org.au Enrolment will only be confirmed upon full receipt of payment and completion of booking forms. All booking forms must be completed in full in order to be accepted. $55.00 per child per day All participants must be PCYC members to attend PCYC programs junior membership $10.00 Program Times: Drop off is between 8:00am and 9:00am Program officially starts at 9:00am and finishes at 4.00pm. Children must be signed in and out of the program. Children will not be allowed to leave the program with anyone other than those nominated on the enrolment form. Age Limits: Primary school aged children, minimum 5 years old, maximum 12 years old. Enrolment: Enrolments will only be confirmed on full completion of forms and full receipt of payment. Enrolments will close when maximum capacity is reached What to bring: Drinks, lunch, snacks and food for the whole day. *Lunch provided on basketball skills day and multi sport gala day Water bottle Enclosed shoes with rubber sole Please clearly label ALL items brought to the Police Citizens Youth Club. PCYC takes no responsibility for lost property. Families are advised not to bring valuables to the club, and label all personal belongings. Allergies / Special Requirements: Parents are required to inform the centre of any allergies their child has when enrolling. Parents are requested to explain known triggers, symptoms and management strategies when dropping off their child to help staff recognise and treat the condition. Please advise the centre of any special requirements. Children with any allergies or cultural or religious beliefs which abstain from eating wheat/gluten or meat products are encouraged to bring their own lunch where possible as all food is cooked on one grill for BBQ day. Medication: Parents are required to inform the club of any medical conditions their child has when enrolling. Parents are requested to explain known triggers, symptoms and management strategies when dropping off their child to help staff recognise and treat the condition. Please advise the centre of any special requirements. Medication can only be administered by staff with written permission including signatures from parents/guardians. Code of Conduct: Rules are established for the safety and well-being of all participants. Disregarding rules may result in exclusion from the program following consultation with program staff and parents/guardians. Inappropriate Behaviour: If a participant displays inappropriate behaviour, staff will speak to the participant about the rules and positively reinforce alternative behaviour. If no improvement is seen the participant will be given time out. If a participant physically harms another child or staff, time out will be given and the parent/guardian contacted. For other serious incidents the participant s parent/guardian will be contacted. If you still have questions, contact the club at: northernbeaches@pcycnsw.org.au or call

3 ENROLMENT FORM 1 Please complete ALL requested information. Options for registering: 1. Bring in to the centre 2. to: northernbeaches@pcycnsw.org.au Parent/Guardian Information: Parent/Guardian Name: (Will be the first emergency contact) Address: Postcode: Phone 1: Phone 2: Emergency Contact Name: Phone: (Must be different to above) How did you hear about us? Indemnity Statement I, the parent/guardian, have read and agree to the attached Essential Information and agree to terms and conditions outlined below: (please initial each box) I accept full responsibility for my child/ren s personal belongings. PCYC Northern Beaches is authorised to obtain medical assistance required in the event of any unforeseen accident or illness and I agree to meet any expenses attached hereto. I accept full responsibility for my child/ren s behaviour during the program and in the event of misbehaviour I will be contacted and asked to collect my child/ren. I, the undersigned, agree that neither the PCYC nor its partners are liable for any losses, damage and/or injury occurred and/or sustained by my child/ren in attending the. Parent/Guardian Name: Signed: Other Parents authorised to collect children: Date:

4 ENROLMENT FORM #2 Options for registering: 1. Bring forms to the club 2. to: Children s Names: Children s Names DOB Attended Holiday Program Previously PAYMENT: (If not paying directly at club) Please Circle: VISA MASTERCARD Card #: Name on Card: Signature: Expiry: CVC #: If child is not already a PCYC member, membership can be processed by our staff with the details provide on this form ($10.00 per yr). If children have any behavioural issues, allergies or medical conditions, please submit an action plan form in order to assist staff to handle any incidents effectively. Number Number $55.00 per day per child $55.00 per day per child of of WEEK 1 WEEK 2 Children Children 18 th December Multisport Gala 8 th January Ninja Assault FULL! 19 th December Basketball 9 th January Laser Warriors FULL! Wednesday 20 th December- Ninja Assault FULL! Wednesday 10 th January Hip Hop & Sport 21 st December Football World Cup 11 th January Basketball FULL! 22 nd December Hip Hop & Sport 12 th January FULL! WEEK 3 WEEK 4 15 th January Basketball 22 nd January Bricks 4 Kidz FULL! 16 th January - FULL! 23 rd January Ninja Assault FULL! Wednesday 17 th January Football World Cup FULL! Wednesday 24 th January FULL! 18 th January Bricks 4 Kidz 25 th January Multisport Gala 19 th January Laser Warriors FULL! 26 th January PUBLIC HOLIDAY TOTAL: $$ Office Use Only: Total $$ Paid: Date: Receipt #: Staff:

APPLICANT INFORMATION

APPLICANT INFORMATION APPLICANT INFORMATION Surname: CHILD #1 CHILD #2 CHILD #3 CHILD #4 First Name: Date of Birth: Age: Name of Parent/Guardian (Emergency contact): Address: Email Address: Telephone: