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BUS AUTHORISATION
Step
1
of
3
33%
Bus Authorisation
Parent / Guardian's Name:
(Required)
Number Of Children
(Required)
1
2
3
4
5
6
7
Child 1 Name:
(Required)
Date Of Birth
DD slash MM slash YYYY
Child 2 Name:
Date Of Birth
DD slash MM slash YYYY
Child 3 Name:
Date Of Birth
DD slash MM slash YYYY
Child 4 Name:
Date Of Birth
DD slash MM slash YYYY
Child 5 Name:
Date Of Birth
DD slash MM slash YYYY
Child 6 Name:
Date Of Birth
DD slash MM slash YYYY
Child 7 Name:
Date Of Birth
DD slash MM slash YYYY
Email:
(Required)
Phone:
(Required)
Bluebird Bus Authority
(Required)
I give my child permission to travel on the Bluebird Bus to and from school, home collection, on excursions or emergency situations. My child will be in a child car restraint suitable for their height and weight as per law.
Home Drop Off / Pick Up
I require my child to be picked up or dropped off at home
Home Collection Address
Street Address
Suburb
Post Code
Is The Home Drop Off Address The Same As Above?
Yes
No
Home Drop Address
Street Address
Suburb
Post Code
School Details
Do your children require Before School Care or After School Care transport?
Yes
No
Child Name
School Name
Room #
Year Level
Child Name
School Name
Room #
Year Level
Child Name
School Name
Room #
Year Level
Do your children require transport to Extra-Curricular Activities?
Yes
No
Details (day and time) of activity and address of activity:
Home pick up transit time:
7.15am–9.30am
Home drop off transit time:
3.30pm-5.30pm
BSC transit time:
8.15am-8.45am
ASC transit time:
3.00pm-3.45pm
Children transported as per age ratio to maximum of 10 children per van and 20 children per bus.
Centre Enrolled
Busselton OR Margaret River
(Required)
Busselton
Margaret River
LDC (Long Day Care) OR OSHC (Out of School Hours Care)
Long Day Care
Out Of School Hours Care
Parent Declaration
Consent
I agree to the policy:
1. It is my responsibility to register at www.my.gov.au and register for my Child Care Subsidy (CCS) – I understand if our childcare centre does not have the correct customer reference numbers to match the dates of birth, these benefits will not be registered. If you are having trouble registering you can phone the Family Assistance Office on 13 61 50.
2. I agree to abide by Bluebird Childcare Centre’s Policies and Procedures.
3. I agree that my child will be excluded from our childcare centre if he/she has contracted a contagious disease or illness.
4. I have read and understood the fee policy, including fee payment, termination, absences and public holidays.
5. Childcare Subsidy is paid on absences as per the Childcare Service Handbook, including public holidays or any other absences. Absences cannot be used at the commencement or at the end of a contract.
6. Regular fee payment will apply for my child’s absence due to holiday, sickness, public holiday or occasional absence – days cannot be swapped or traded with other families.
7. No fee payment applies if the centre closes the doors for emergency reasons.
8. I understand that when Educators are away on sick or annual leave, a suitable relief Educator will be placed in their absence.
Any change of details, including absentees, please contact bus services on 0437 015 116.
Signature
(Required)
Date
(Required)
DD slash MM slash YYYY
