Highland Reserve OSHC Lakeside

25 Rose Valley Dve Upper Coomera

Enrolment Form

Welcome to Young Discoverers OSHC, Lakeside.

We are excited to be now be open as part of our current Long Day Care Centre at 25 Rose Valley Dve!!!

Enrolments are now open!

Thank you for taking the time to complete this form. Whether you intend using our services regularly or just in an emergency, completion of this form is vital so that we can care for your kids as well as possible. (We are unable to provide any care for your children unless this form has been completed)

We may share your information with emergency contacts, educators and government departments, such as the Department of Education, Centrelink, Department of Communities etc., as required and in accordance with the Privacy Act (1988), as part of permissions collected during enrolment processes.

Please don’t hesitate to email ydhr.admin@youngdiscoverers.org.au if you need help with anything at anytime. If you prefer to talk to someone, send an email with your phone number and one of our office staff will call you as soon as possible.

For details about how we get to all our excursions visit: https://youngdiscoverers.org.au/highland-reserve-oshc-ols-excursions/

"*" indicates required fields

Enrolment date:*

How many children are you enrolling*

Child 1

Name*

First Last

What school does your child attend*

Upper Coomera State College

Highland Reserve State School

Other

Please specify*

Does your child have a CRN*

Yes

No / Not Applicable

CRN*

Date of birth*

Child address*

Address Address 2 Suburb State Postcode

Gender*

Indigenous status*

Cultural background

Year level on enrolment

Teacher’s name

Roll Class

E.g. 1M

Child 2

Name*

First Last

What school does your child attend*

Upper Coomera State College

Highland Reserve State School

Other

Please specify*

Does your child have a CRN*

Yes

No / Not Applicable

CRN*

Date of birth*

Child address*

Same address as child 1

Address Address 2 Suburb State Postcode

Gender*

Indigenous status*

Cultural background

Year level on enrolment

Teacher’s name

Roll Class

E.g. 1M

Child 3

Name*

First Last

What school does your child attend*

Upper Coomera State College

Highland Reserve State School

Other

Please specify*

Does your child have a CRN*

Yes

No / Not Applicable

CRN*

Date of birth*

Child address*

Same address as child 1

Address Address 2 Suburb State Postcode

Gender*

Indigenous status*

Cultural background

Year level on enrolment

Teacher’s name

Roll Class

E.g. 1M

Child 4

Name*

First Last

What school does your child attend*

Upper Coomera State College

Highland Reserve State School

Other

Please specify*

Does your child have a CRN*

Yes

No / Not Applicable

CRN*

Date of birth*

Child address*

Same address as child 1

Address Address 2 Suburb State Postcode

Gender*

Indigenous status*

Cultural background

Year level on enrolment

Teacher’s name

Roll Class

E.g. 1M

Child 5

Name*

First Last

What school does your child attend*

Upper Coomera State College

Highland Reserve State School

Other

Please specify*

Does your child have a CRN*

Yes

No / Not Applicable

CRN*

Date of birth*

Child address*

Same address as child 1

Address Address 2 Suburb State Postcode

Gender*

Indigenous status*

Cultural background

Year level on enrolment

Teacher’s name

Roll Class

E.g. 1M

Family information

How many parents/guardians within the household?*

Parent/Guardian #1

To be eligible for Child Care Subsidy, DOB & CRN are required

Name*

First Last

CRN

Date of birth*

Address*

Same address as child 1

Address Address 2 Suburb State Postcode

Occupation

Name of employer

Mobile*

Home

Work

Email address

Country of birth

Australian Citizen

Years in Australia

Ethnic/Cultural background

Indigenous status*

Parent/Guardian #2

To be eligible for Child Care Subsidy, DOB & CRN are required

Name*

First Last

Date of birth

Address*

Same address as child 1

Address Address 2 Suburb State Postcode

Occupation

Name of employer

Mobile*

Home

Work

Email address

Country of birth*

Australian Citizen*

Years in Australia*

Ethnic/Cultural background*

Indigenous status*

Email address to be used for correspondence such as invoices:

Parent #1

Parent #2

Both

Emergency Contact

Two emergency contacts are legally required; these must not be the parent/guardian

Emergency contact #1

Name*

First Last

Relationship to child/ren*

Mobile*

Home

Work

Address*

Address Address 2 Suburb State Postcode

This person is (mark all that apply)*

Authorised to collect my child/ren from the service

Authorised to consent to medical treatment, administration of medication and to sign incident reports

To give permission to another person to collect my child/ren from the service

Authorised to give permission to an educator to remove my child/ren from the centre for excursion or medical treatment from a medical practitioner, hospital or ambulance service

Emergency contact #2

Name*

First Last

Relationship to child/ren*

Mobile*

Home

Work

Address*

Same as Emergency Contact 1

Address Address 2 Suburb State Postcode

This person is (mark all that apply)*

Authorised to collect my child/ren from the service

Authorised to consent to medical treatment, administration of medication and to sign incident reports

To give permission to another person to collect my child/ren from the service

Authorised to give permission to an educator to remove my child/ren from the centre for excursion or medical treatment from a medical practitioner, hospital or ambulance service

Add another emergency contact

Yes

Emergency contact #3

Name*

First Last

Relationship to child/ren*

Mobile*

Home

Work

Address*

Address Address 2 Suburb State Postcode

This person is (mark all that apply)*

Authorised to collect my child/ren from the service

Authorised to consent to medical treatment, administration of medication and to sign incident reports

To give permission to another person to collect my child/ren from the service

Authorised to give permission to an educator to remove my child/ren from the centre for excursion or medical treatment from a medical practitioner, hospital or ambulance service

Add another emergency contact

Yes

Emergency contact #4

Name*

First Last

Relationship to child/ren*

Mobile*

Home

Work

Address*

Address Address 2 Suburb State Postcode

This person is (mark all that apply)*

Authorised to collect my child/ren from the service

Authorised to consent to medical treatment, administration of medication and to sign incident reports

To give permission to another person to collect my child/ren from the service

Authorised to give permission to an educator to remove my child/ren from the centre for excursion or medical treatment from a medical practitioner, hospital or ambulance service

Family circumstance

Court order or parenting plan*

Do both parents have legal custody of the child/ren*

Who does?*

Is there anything extra for us to know regarding your family?

Please attach a court order, parenting order or parenting plan as relevant*

Drop files here or

Max. file size: 10 MB, Max. files: 10.

Child 1

Languages spoken

At home between parents*

With child 1*

Do you have any information about your child that will support their transition into our program

Yes

Please explain*

Does your child have any cultural or religious customs or considerations our carers need to be aware of

Yes

Please explain*

Does your child have any dietary requirements

Yes

Please explain*

Does your child have any additional needs/&disabilities

Yes

Please explain*

Does your child have a need for additional assistance that could require additional support

Yes

Please explain*

Any other useful information about your child

Yes

Please explain*

Child 2

Languages spoken

At home between parents*

With child 2*

Do you have any information about your child that will support their transition into our program

Yes

Please explain*

Does your child have any cultural or religious customs or considerations our carers need to be aware of

Yes

Please explain*

Does your child have any dietary requirements

Yes

Please explain*

Does your child have any additional needs/&disabilities

Yes

Please explain*

Does your child have a need for additional assistance that could require additional support

Yes

Please explain*

Any other useful information about your child

Yes

Please explain*

Child 3

Languages spoken

At home between parents*

With child 3*

Do you have any information about your child that will support their transition into our program

Yes

Please explain*

Does your child have any cultural or religious customs or considerations our carers need to be aware of

Yes

Please explain*

Does your child have any dietary requirements

Yes

Please explain*

Does your child have any additional needs/&disabilities

Yes

Please explain*

Does your child have a need for additional assistance that could require additional support

Yes

Please explain*

Any other useful information about your child

Yes

Please explain*

Child 4

Languages spoken

At home between parents*

With child 4*

Do you have any information about your child that will support their transition into our program

Yes

Please explain*

Does your child have any cultural or religious customs or considerations our carers need to be aware of

Yes

Please explain*

Does your child have any dietary requirements

Yes

Please explain*

Does your child have any additional needs/&disabilities

Yes

Please explain*

Does your child have a need for additional assistance that could require additional support

Yes

Please explain*

Any other useful information about your child

Yes

Please explain*

Child 5

Languages spoken

At home between parents*

With child 5*

Describe anything about your child that will support their transition into our program

Yes

Please explain*

Does your child have any cultural or religious customs or considerations our carers need to be aware of

Yes

Please explain*

Does your child have any dietary requirements

Yes

Please explain*

Does your child have any additional needs/&disabilities

Yes

Please explain*

Does your child have a need for additional assistance that could require additional support

Yes

Please explain*

Any other useful information about your child

Yes

Please explain*

Medical information

Family medicare number

Immunisation history*

Drop files here or

Max. file size: 10 MB, Max. files: 10.

Can be found on your MyGov portal under 'Medicare'

I’m not immunised

Family Doctor

Name

Phone

Address (if known)

Address Address 2 Suburb State Postcode

Is your child under any medical treatment at present*

Yes

I have medical action plans for

Child 1

Child 2

Child 3

Child 4

Child 5

N/A

Medical action plans, prepared by a doctor, are required for all conditions requiring medication

Medical Action Plan*

Drop files here or

Max. file size: 10 MB, Max. files: 10.

Child 1 - Describe symptoms, precautions and treatment

Child 2 - Describe symptoms, precautions and treatment

Child 3 - Describe symptoms, precautions and treatment

Child 4 - Describe symptoms, precautions and treatment

Child 5 - Describe symptoms, precautions and treatment

I confirm that I have received and read the centre's Medical Conditions & Medication Policy

Yes

The Medical Conditions and Medication Policy are found in the Parent Handbook, click here to access.

Child 1 - Do we need to know anything else about your child

Child 2 - Do we need to know anything else about your child

Child 3 - Do we need to know anything else about your child

Child 4 - Do we need to know anything else about your child

Child 5 - Do we need to know anything else about your child

Permissions

Permission for staff to act in case of emergency or accident*

Although every care will be taken to ensure the safety of your child/ren at the Centre, the staff can in no way be held responsible for any accident which may occur. In the event of an accident or illness requiring emergency medical treatment getting your child/ren the medical support they require is our number one priority. Parents will be contacted as soon as possible in all emergency situations.

YD Recommend families seek independent advice on medical insurance as part of their enrolment due diligence

I authorise educators of Young Discoverers to administer first aid, including lifesaving intervention (e.g. Epipen, Ventolin, CPR etc.) and/or seek emergency medical treatment, including ambulance transport, for my child/ren should this be considered necessary. I agree to pay any costs involved.*

I give permission for my child/ren to be removed from the premises in the event of an emergency to a location deemed safe by the responsible person in charge or emergency services until parents/emergency contacts can be contacted, or the emergency situation no longer exists.*

Permission to administer medicine

Permission is given for my child/ren to be given paracetamol by Young Discoverers educators to reduce fever, at the directed dosage for their age and weight*

Please Note: Educators will always attempt to make contact with a parent before administering paracetamol and will document these attempts. If medication is given a parent signature will be required on the illness and medication report when your child is picked up.

OSHC Movies

We occasionally choose movies that we feel complement our Christian ethos, these may be 'PG'

Permission to watch 'PG' rated movies*

Child 1*

Yes

Child 2*

Yes

Child 3*

Yes

Child 4*

Yes

Child 5*

Yes

Photos within Centre permission

I give permission for my child/ren's photo to be taken and displayed within the Centre (including for use in portfolios which go home with families when complete)*

Online permission

I give permission for my child/ren to be included in information posted online. This could include photos and first name mention of your child on Young Discoverer's specific sites such as websites, our Facebook page or other online forums. Last names will no be used online*

Permission to observe

I understand my child/ren will be observed by Young Discoverers educators to develop programs that cater to their individual needs. Observations will be communicated to parents as appropriate*

Ongoing excursion permission

I give permission for my child/ren to visit the adjacent Tallowood Park and surrounding parklands at any time during attendance at Young Discoverers*

Escorted Journey: Permission for Bus Travel To and From the Centre

I give permission for my child/ren to travel on the Young Discoverers Kindy Bus between the Centre, Upper Coomera State College (137 Reserve Rd, Upper Coomera Qld 4209) and Highland Reserve State School (570 Reserve Road, Upper Coomera 4209) for Before and After School Care as my booking specifies.

There will be up to 10 children in the bus accompanied by two responsible adults, (comprising at least two educators, or one educator and one responsible adult). The anticipated ratio of child: adult will be 5:1.

I understand that the children will travel in the Centre bus which has restraints for all seats, and booster seats as required. All children under 7 years of age require a Booster Seat.

Before School Care will depart from the centre at 8:20am each day arriving at UCSC at approx. 8.35 and HRSS at approx. 8:45am
After School Care will depart UCSC at approx 2.45pm, arriving at HRSS at approx. 2.55pm and then delivering all collected children back to the centre at approx. 3.15pm each day.
A penalty of $10 per child will be charged if your child has a booking and you do not inform us that he/she does not need to be picked up from school
Route information is available here: https://youngdiscoverers.org.au/highland-reserve-oshc-ols-excursions

I agree to the above and give permission for my child to be escorted to and from the centre*

NB: In the event of unforeseen circumstances in which we are unable to use the bus, we would seek to use alternative transport which could include the use of a taxi, hire, private vehicle or walking

Agreement to conditions

I agree that the information and permissions provided in this enrolment form is correct. I agree to the conditions stated in the Parent Handbook, which I have read*. I understand that if my fees are not kept in advance my enrolment may be cancelled. Inclusion in holiday programs are subject to fees being paid in advance at all times.*

* A copy of the handbook is available here or on request ydhr.admin@youngdiscoverers.org.au

Enrolment

Enrolment type*

Fee Schedule: For current fee pricing please refer to the Daily Fee Schedules on display at Reception or email: ydhr.admin@youngdiscoverers.org.au

Do your sibling bookings differ from each other?

Our admin will be in touch to discuss.

BSC (6.30am - 8.30am 2 hours)*

N/A

Monday

Tuesday

Wednesday

Thursday

Friday

ASC (3.00pm - 6.30pm 3.5 hours)*

N/A

Monday

Tuesday

Wednesday

Thursday

Friday

Vacation Care

*6.30am - 6.30pm (see below)
See vacation care booking form distributed 6 weeks prior to all holiday periods

*Session options are available for Vacation Care only and are dependent upon each family's individual Childcare Subsidy Entitlements.

Please speak with our Office staff to calculate your best option to ensure receipt of maximum benefits

Length of day

12 Hours: 6.30am - 6.30pm

Other

Please select*

Child Care Subsidy

To be eligible to receive any Child Care Subsidy entitlements you must ensure that all details on this form are filled in completely and correctly.

If you have any issues or questions regarding Child Care Subsidy go to www.education.gov.au/childcare or contact Centrelink on 13 6150

Bus Route

The route will be as indicated on the attached map image.
The journey is approximately six minutes each way.
The driver will hold an Open Class licence, First Aid Certificate and Driver Authority.

Walking Route

The route will be as indicated on the attached map image.
The journey is approximately 10 minutes each way.