Upper Coomera - The Well - OSHC Re-Enrolment Form

How many children are you re-enrolling*

Children

Name	BSC (6.30am - 8.30am 2 hours)	ASC (3.00pm - 6.30pm 3.5 hours)	Actions

There are no Children.

Emergency Contacts (This MUST NOT be a parent/guardian)

Name	Relationship to child/ren	Actions

There are no Emergency Contacts.

Minimum 2 contacts are required

Additional Authorised Pickups

Name	Relationship to child/ren	Actions

There are no Additional Authorised pickups.

Family circumstances

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.

Escorted Journey: Travel Permissions To and From the Centre

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

If travelling on the Kindy bus, 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.

The Centre bus has restraints for all seats, and booster seats as required, for those children needing to be transported by bus. All children under 7 years of age require a Booster Seat.

For HRSS Bookings:

Before School Care will depart from the centre between 8.40am – 8.50am each day, depending on which class they are in
After School Care will depart HRSS from 3.00pm 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/upper-coomera-oshc-otw-excursions/

For UCSC Bookings:

Before School Care will depart from the centre at 8:10am each day arriving at Upper Coomera State College by 8:30am.
After School Care will depart Upper Coomera State College at approx 2:40pm and will arrive back to HRSS at approx. 3.00pm each day. Children will then combine with the HRSS children to walk back to the Centre.
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/upper-coomera-oshc-otw-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 [email protected]

I agree to advise Young Discoverers Limited should any information provided change*

This includes but not limited to changes with regards to:

Address
Work Phone
Mobile Phone
Emergency Contacts
Authorised Pickups
Medical Conditions/Medical Action Plans
Email address
Relationship Status

I agree to advise Young Discoverers Limited should any information provided change*

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

Your name*

As registered with us

First Last

Your email*

As registered with us

Upper Coomera OSHC Re-Enrolment Form

Do you have any children to un-enrol from our program?

Family circumstances

Escorted Journey: Travel Permissions To and From the Centre

Agreement to conditions