Vacation Care Enrolment Form

2024 April School Holiday Vacation Care

Location: St John the Baptist Primary School, 172 Station Street, Koo Wee Rup, VIC

Enrolments close: 15 March 2024


Please complete this form for each child you are enrolling. Windermere Vacation Care must collect the information in this form to meet regulatory requirements.

The documents you will require to complete this enrolment are:

  1. Action plan - if your child has a diagnosed medical condition or allergy.

  2. Court order documents - if applicable.

  3. Immunisation documents.

  4. Medicare card.

  5. Additional needs supporting documents - if applicable.

Thank you and we look forward to having your child in our care next year!


1. Child's details

(if applicable)

2. Medical conditions

Please upload your child's current Action Plan (within the last 12 months) for their condition. Your child's doctor can provide this plan.

It is important that you ask for a copy of the Guidelines for your child's medical condition. This will help you understand how the educator will support your child.

We will also complete a Risk Management & Communication Plan with you before your child commences care.

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*This is a legislative requirement for Vacation Care

3. Parent(s) details

Who is considered a parent?

By law, the definition of a 'parent' includes:

  • a biological parent

  • a person with parental responsibility for the child under a decision or order of a court

Who is not considered a parent?

A person cannot be considered a parent if they have not obtained parental responsibility for the child under a decision or order of a court. This includes:

  • a parent's partner (non-biological parent)

  • a family member

  • another carer

Your details

The person completing this form must be the parent with the CRN linked to the child.

Your contact details

Please provide as many contact details as possible. At least one phone number is reuired.

Language details

(if applicable)

Work details

Child Care Subsidy

In order for the service to provide Child Care Subsidy (CCS), the person applying for CCS must provide their Customer Reference Number (CRN) and the CRN of the child.

Parent 2 details

(if applicable)

4. Authorised contacts other than a parent

This section is for you to authorise other people to act on your behalf in certain circumstances.

  • You cannot include those who are already listed as parents / guardian 1 and 2

  • You must provide two (2) authorised contacts

  • You cannot authorise your Windermere Out of School Hours Care to be an authorised contact.

  • Only included people who are over 16 years of age time

Contact 1

Please fill in at least one phone number.

Contact 2

Please fill in at least one phone number.


5. Court orders

Are there any:

  • Court orders, parenting orders or parenting plans concerning the powers, duties and responsibilities, or authorities of any person in relation to the child or access to the child?

  • Details of court orders relating to the child's residence or the child's contact with a parent or other person?

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Your child will not be able to attend Vacation Care if you do not provide us with a copy of the current document(s).

You must provide us with updated or amended court orders, parenting orders or parenting plans if they are changed.


6. Immunisation and health

Please provide Windermere with your child’s immunisation History Statement (this can be downloaded from MyGov or Medicare).

Documents we cannot accept

  • The child's Health Record (blue book)

  • Health & Development Record (green book)

  • Overseas immunisation documents

  • Homeopathic immunisation documents

  • Statutory declarations

  • Conscientious objection and vaccination objection on non-medical grounds

  • Certificates from your doctor

*Windermere Out of School Hours Care do not site health records.

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Medicare details

Details of your child's doctor/health practitioner 


7. Additional needs

Windermere is committed to providing an environment that values and respects the needs of all children to fully participate.

Example include a paediatrician, an early intervention service, therapists, Preschool Field Officers and an Inclusions Support Facilitator.

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8. Filming and photography consent

A parent's consent is required before images and recordings can be taken of their child.


I consent to:

If we require consent to use audio, video and still images that are not covered by the points above, we will ask you for separate consent to suit the situation.


9. Privacy

Our Privacy Policy is about how we handle your personal information. 

We collect personal information from you when it is reasonably necessary for a business purpose. That means we collect it to supply you with the services and/or products you have asked for and to provide you with the best possible service.

Other reasons we collect personal information are to: 

  • Understand you and how we can meet your needs now and in the future

  • Develop or evaluate services and products

  • Make ads more relevant to you

  • Manage our business

  • Comply with our legal obligations

We may collect personal information like your name, address, date of birth, gender, occupation, location, contact details or payment details depending on the activity you undertake with us. There are a few different ways we collect this information.

For more information please see our Privacy Policy.


10. Sunscreen

Educators will supervise children to apply sunscreen in accordance with SunSmart Victoria Guidelines.

For more information about how we use sunscreen to protect your child, please ask your educator for a copy of the Weather Protection Guidelines.


11. Declaration and consent


Clear


12. Payment of fees

I/We authorise and request HubHello Pty Ltd ACN 160 176 018 to debit payments from my/our account, as specified below, at intervals and amounts as directed by Windermere Child and Family Services (“The Business”) as per the terms and conditions of my/our agreement with the Business and in accordance with the Direct Debit Request and the Hubhello DDR Service Agreement. 

 Your direct debit will be processed seven days before commencement of the Vacation care period. This amount will be the estimated Gap Fee payable. 

 Fees: 

  • Bank AccountTransaction Fee: $0

  • Credit CardSurcharge: VISA/MasterCard: 0.90%

  • Failed Transaction Fee: $2.75

Payment Method

Do not include spaces between the numbers.