MOSHC Vacation Care Booking Form Page 1 Macgregor State School P&C Association Outside School Hours Care Vacation Care Booking Form This Booking form is for the holiday period of Monday 16 th December to Friday 21 st December 2018 & Monday 7 th January to Friday 25th January 2019 (MOSHC closed 2 weeks for Christmas break) Childs first name: Childs surname: Please indicate the days that your child will be attending the program: Monday Tuesday Wednesday Thursday Friday Week 1, 2018 17 th Dec 21 st Dec Week 2, 2019 7th Jan 11 th Jan Week 3, 2019 14 th Jan 18 th Jan Week 4, 2019 21 st Jan 25 th Jan * * *Additional permission forms for these days OPTIONAL EXTRAS - Tick to indicate any Excursions you wish your child to attend: Wednesday 19 th January 2019 Getting back to Nature Optional Excursion Granadilla Park No additional cost Tuesday 8 th January 2019 Roll Out the Red Carpet Optional Excursion Hoyts Movie Excursion - $17.50 Tuesday 22 nd January 2019 Yum Cha Optional Excursion Yum Cha at Parkland, SunnyPark - $15.00 Assortment of swimming days Please indicate below Swimming @ MacGregor Pool Optional Extra Swimming @ MacGregor Pool Parent Name: Signature: Date: / / Please note: This is a booking form ONLY for a particular time period of Vacation Care (VC) at MacGregor Outside School Hours Care. Enrolment forms for new students to the centre are available from Management. Seven (7) days notice, in writing, is required to cancel any VC bookings. Bookings for excursions or special events will incur charges regardless of attendance. MOSHC holds the right to cancel or reschedule any Excursions or Special events. *Please note a casual booking refers to bookings where a period of at least 2 working days has not been provided. All Casual Bookings are non-refundable and non-transferable.
MOSHC Vacation Care Booking Form Page 2 Macgregor State School P&C Association Outside School Hours Care Vacation Care Booking Form This Booking form is for the holiday period of Monday 16 th December to Friday 21 st December 2018 & Monday 7 th January to Friday 25th January 2019 (MOSHC closed 2 weeks for Christmas break) Child 2 Childs first name: Childs surname: Please indicate the days that your child will be attending the program: Monday Tuesday Wednesday Thursday Friday Week 1, 2018 17 th Dec 21 st Dec Week 2, 2019 7th Jan 11 th Jan Week 3, 2019 14 th Jan 18 th Jan Week 4, 2019 21 st Jan 25 th Jan * * *Additional permission forms for these days OPTIONAL EXTRAS - Tick to indicate any Excursions you wish your child to attend: Wednesday 19 th January 2019 Getting back to Nature Optional Excursion Granadilla Park No additional cost Tuesday 8 th January 2019 Roll Out the Red Carpet Optional Excursion Hoyts Movie Excursion - $17.50 Tuesday 22 nd January 2019 Yum Cha Optional Excursion Yum Cha at Parkland, SunnyPark - $15.00 Assortment of swimming days Please indicate below Swimming @ MacGregor Pool Optional Extra Swimming @ MacGregor Pool Parent Name: Signature: Date: / / Please note: This is a booking form ONLY for a particular time period of Vacation Care (VC) at MacGregor Outside School Hours Care. Enrolment forms for new students to the centre are available from Management. Seven (7) days notice, in writing, is required to cancel any VC bookings. Bookings for excursions or special events will incur charges regardless of attendance. MOSHC holds the right to cancel or reschedule any Excursions or Special events. *Please note a casual booking refers to bookings where a period of at least 2 working days has not been provided. All Casual Bookings are non-refundable and non-transferable.
MOSHC Vacation Care Booking Form Page 3 Swimming Ability Permission Form Date: Travelling Time: 18th December 2018 9th January 2019 11th January 2019 17th January 2019 23rd January 2019 25th January 2019 MacGregor State School Swimming Pool Walking to and from MacGregor State School Swimming Pool, in supervised groups, via the school oval. Approximately 5 minutes walking time, to and from the MacGregor State School Swimming Pool. Staffing: A risk assessment conducted has set the ratio at 5 children or less to 1 CPR Qualified staff member with a maximum group size of 20 children. Details: Children MUST have previous swimming experience, wear sunscreen, a sun safe shirt, swimmers/togs and a swimming cap to enter the pool. Swimming times will be throughout the day for approx. 30 minutes a group I, hereby give permission for my child to attend this excursion to MacGregor State School Swimming Pool on one or more of the dates as indicated below. I understand that my child/ren is required to have had previous swimming experience to attend this excursion. Childs first name: Childs surname name: Age What is your child s comfort level around water? Very comfortable Comfortable Uncomfortable What is your child's swimming ability? Non-swimmer (cannot support themselves in water) Novice (can support themselves in shallow water and are capable of moving short distances <5m) Intermediate (can support themselves in deep water and can swim a length of the pool) Advanced (can support themselves in deep water and can swim many lengths of the pool) Please indicate below:
MOSHC Vacation Care Booking Form Page 4 Child 2 Swimming Ability Permission Form Date: Travelling Time: 18th December 2018 9th January 2019 11th January 2019 17th January 2019 23rd January 2019 25th January 2019 MacGregor State School Swimming Pool Walking to and from MacGregor State School Swimming Pool, in supervised groups, via the school oval. Approximately 5 minutes walking time, to and from the MacGregor State School Swimming Pool. Staffing: A risk assessment conducted has set the ratio at 5 children or less to 1 CPR Qualified staff member with a maximum group size of 20 children. Details: Children MUST have previous swimming experience, wear sunscreen, a sun safe shirt, swimmers/togs and a swimming cap to enter the pool. Swimming times will be throughout the day for approx. 30 minutes a group I, hereby give permission for my child to attend this excursion to MacGregor State School Swimming Pool on one or more of the dates as indicated below. I understand that my child/ren is required to have had previous swimming experience to attend this excursion. Childs first name: Childs surname name: Age What is your child s comfort level around water? Very comfortable Comfortable Uncomfortable What is your child's swimming ability? Non-swimmer (cannot support themselves in water) Novice (can support themselves in shallow water and are capable of moving short distances <5m) Intermediate (can support themselves in deep water and can swim a length of the pool) Advanced (can support themselves in deep water and can swim many lengths of the pool) Please indicate below:
MOSHC Vacation Care Booking Form Page 5 D.M. Henderson Park D.M. Henderson Park, 122 Granadilla Street, MacGregor Date: Wednesday, 19 th December 2018 To: Explore Henderson Park and choose from a variety of different activities while at the park (refer to program plan). Morning tea is provided (fruit and cracker options available). Walking to and from D.M. Henderson Park in supervised groups, via Carnaby St., using the pedestrian crossing on Granadilla street. Travelling Time: Approximately 15 minutes to and from D.M. Henderson Park, MacGregor. Staffing: A risk assessment conducted has set the ratio at 10 children or less to 1 staff member. NO SPENDING MONEY IS ALLOWED. Children must wear sunscreen, sun safe clothes, appropriate foot wear, and bring a hat and water bottle. Departure: Please arrive no later than 8:30am. Return: Returning to the centre at approximately 11:30am. ----------------------------------------------------------------------------------------------------------------------------- I hereby give permission for my child/ren to attend this excursion to D.M Henderson Park on Wednesday, 19 th December 2018. I understand that the children will walk to and from D.M Henderson Park, in supervised groups, via Carnaby St, using the pedestrian crossing on Granadilla St. There is no additional charge for this excursion. To secure a place on this excursion, this permission slip must be returned to the MOSHC office no later than Monday 10 th December 2018. Parent/Guardian Name: Signature: Date:
MOSHC Vacation Care Booking Form Page 6 Movie Excursion Permission Form Hoyts Cinemas, Sunnybank Plaza. Date: Tuesday 8 th January 2019 To see: How To Train Your Dragon: The Hidden World Walking to and from the Cinemas, in supervised groups, via the overhead crossing. Travelling Time: Approximately 20 minutes walking time, to and from the cinema. Staffing: A risk assessment conducted has set the ratio at 10 children or less to 1 staff member. NO SPENDING MONEY IS ALLOWED. Small popcorn and drink are provided. Children must wear sunscreen, sun safe clothes, appropriate footwear, and bring a hat and water bottle. Departure: Please arrive no later than 9:00am. Return: Returning to the centre at approximately 12:30pm. ----------------------------------------------------------------------------------------------------------------------------- I hereby give permission for my child/ren to attend this excursion to Hoyts Cinemas at Sunnybank Plaza on Tuesday 8 th January 2019. I understand that the children will walk to and from the Cinemas, in supervised groups, via the overhead crossing and an extra charge of $17.50 per child will be placed onto the family account. To secure a place on this excursion, this permission slip must be returned to the MOSHC office no later than Monday 10 th December 2018. Subject to availability. Child s FULL Name: Child s FULL Name: Please Select one of the following drink options: Please Select one of the following drink options: Coke Fanta Coke Fanta Lemonade Water Lemonade Water Parent/Guardian Name: Parent/Guardian Name: Signature: Signature: Date: Date:
MOSHC Vacation Care Booking Form Page 7 Yum Cha Parkland Restaurant, SunnyPark, Sunnybank Date: Tuesday 22 nd January 2019 To: Participate in a restaurant dining experience Walking to and from SunnyPark, in supervised groups walking through MacGregor State School and entering SunnyPark through the back entrance. Travelling time: Approximately 10 minutes walking time Staffing: A risk assessment conducted has set the ratio at 10 children or less to 1 staff member. Lunch: Departure: Returning: At Parkland Restaurant. NO SPENDING MONEY IS ALLOWED. Children must wear sun safe clothes, closed in shoes, bring a hat and water bottle. Please arrive no later than 10:00am All groups returned to centre by approximately 2:30pm ----------------------------------------------------------------------------------- I hereby give permission for my child/ren to attend this excursion Tuesday 22 nd January 2019. I understand that the children will walk in a group under supervision and an extra charge of $15.00 per child will be placed onto the family account. Child s FULL Name: Does your child have: Allergy Anaphylaxis Dietary requirement Please specify any of the ticked above: Child s FULL Name: Does your child have: Allergy Anaphylaxis Dietary requirement Please specify any of the ticked above: Disclaimer: we cannot guarantee that the food provided to your child/ren has not been cross contaminated or come into contact with foods that do not meet your child s allergy, anaphylaxis and/or dietary requirements during the cooking and/or serving process. By signing the form below, you indicate that you have read and understood this disclaimer. To secure a place on this excursion, this permission slip must be returned to the MOSHC office no later than Monday 10 th December 2018 Parent/Guardian Name: Signature: Date: