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Djinda Dreaming Huntingdale - Vacation Care Booking
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3
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Select Your Days
Week 1
FRI 20 SEP - Kalamunda Skate Park
Week 2
TUE 24 SEP - Zone Bowling
WED 25 SEP - Kalamunda History Village
THU 26 SEP - Shipwreck Park
FRI 27 SEP - Cohuna Koala Park
Week 3
MON 30 SEP - Perth Zoo
TUE 1 OCT - Fremantle Prison
WED 2 OCT - Kwinana Adventure Park
THU 3 OCT - Build-A-Bear
FRI 4 OCT - Laser Tag
Week 4
MON 7 OCT - Movies & Popcorn
Booking Details
Parent / Guardian's Name:
(Required)
Child / Children's Name(s):
(Required)
Email
(Required)
Phone:
(Required)
Booking Agreement
(Required)
I agree to this Djinda Dreaming Vacation Care booking for the School Holidays, including payment of the days booked. I understand if my booking is cancelled within a rostered week, I will still be charged for those bookings
Excursion Authority
Excursions are an extension of the Djinda Dreaming Vacation Care program and will be child orientated. We are required to notify Parents/Guardians about any excursions including where and at what times the excursion will take place, this information is found on the Vacation Care Program attached. We leave Premises between 8.30 am and 9am and return to Premises between 3-3.30pm. A Risk Assessment plan will have been conducted on each excursion; this will be readily available to all parents on request and at the kiosk to view. We follow the ratio of 1:10. We are licensed to take up to 51 children on an excursion.
Do you give authority for your child/children to walk outside the licensed premises?:
(Required)
Yes
No
Do you give authority for your child/children to participate in visits from the following people?
Police Officers
Dentists
Firefighters
Aboriginal Community Members
Excursion Authority
(Required)
I give permission for my child/children to attend the incursion or excursion scheduled on the day of their booking.
Changing Your Booking
(Required)
I understand that I am required to give 24 hours notice in writing to change my booking and that this authority will be kept on file with this permission form, acknowledging permission for that excursion.
Bus Travel
I give my child permission to travel on the Djinda bus to and from Djinda Child Care Centre and the excursion destination or emergency situations. My child will be in a child care restraint suitable for their height and weight as per law.
Photography Consent
I give permission for my photographs of my child/children to be posted on social media or used in other marketing.
Bus Service Authorisation
Do you require Home Pick Up and Drop Off?
(Required)
Yes (please complete home pick up details below)
No (please sign and submit)
Home Collection Address:
Home Drop Address:
Do you require additional bus services for extracurricular activities?
(Required)
Yes
No
If yes, please provide full details including child's name, activity, full address of activity location, plus dates and times for the service required.
Signature
(Required)