• MAPUA KIDS HOLIDAY PROGRAMME ENROLMENT FORM

    MAPUA KIDS HOLIDAY PROGRAMME ENROLMENT FORM

  • No booking will be accepted unless a signed booking form and full payment is received. We have Limited spaces available First in first served!!

  • My child/children will be attending on the following days: please tick the boxs below days attending Regular Days @ $45 Per Child 830am - 3.30pm Trip Day:$60

  • CHILD(REN)'S DETAILS:

  • Days Attending
  • Days Attending
  • EMERGENCY CONTACTS DIFFERENT TO THE ABOVE (2 required)

  • If you or your family have any particular cultural requirements that you would like to discuss with us we would encourage you to do so and welcome opportunity to assist. You are welcome to note requirements on this enrolment form or discuss this directly with our Programme

    Does your child have any particular health needs? e.g. allergies, food requirements, asthma, medical conditions,

  • NB: If you would prefer to have a discrete conversation with our Programme Co-Ordinator, this can be arranged.

    I give permission for my child(ren) to participate in excursions around Mapua and stated in the programme of events

    Please sign this contract to complete enrolment. If you have any questions about the programme or wish to see a copy of the programme policies prior to signing, please do not hesitate to ask. In the event of an emergency or accident I consent to the programme staff taking necessary steps, including giving first aid and if required calling an ambulance, or transporting my child to ensure their safety and well- being.

    1.I understand that full fees apply for all absences, regardless of reason (sick, holiday, shy child, playdate, etc.). If you cancel the Friday before the programme begins, your fees may be transferred to different days or a future programme at the discretion of programme management. I understand my booking is not complete till I have made payment. 

    2.I understand the Programme coordinator has the right to change the programme due to weather conditions.

    3.I understand that if I am late for pick up a late fee of $1 a minute will be charged at the discretion of management.

    4.I agree to sign the daily register and record the start and/or finish times for my child.

    5.I agree that only the people stated on the enrolment form will be allowed to collect children. No children will leave the programme unaccompanied without written permission and the agreement of the supervisor.

    6.I agree that personal possessions are my child's responsibility when attending the programme. I agree that, while the programme will exercise all due care, the programme and staff will not be liable for accidental loss or damage to any personal property that a child has at the programme.

    7.I will ensure my child will be dressed appropriately for the weather and play AND I will provide sunhats, jackets, warm hats and spare clothing, when requested.

    8.I agree to cover any costs incurred due to deliberate damage to property by my child.

    9.I give permission for my child(s) to participate in all our activities. To the extent permitted by law I agree that the programme management and staff will not be liable for accidental injuries which can occur, especially when children are involved in active play.

    10. I give permission for my child to travel in the programme's vehicles and to be taken for local walks and outings by the staff. I understand I will need to sign a permission form for any holiday excursions.

    11. I understand that the programme management reserves the right to exclude from the programme any child who is frequently disruptive, using inappropriate language, ignoring programme rules, or who poses a significant risk to the safety of themselves or others. The programme strives to be fair, positive and consistent in helping children behave appropriately. Please refer to the behaviour guidance policy.

    12. I give permission for the programme staff to administer first aid, sunscreen and seek any qualified medical assistance necessary and that I will liable for any costs incurred.

    13. I give permission for a staff member to give my child any required medication if it is requested in writing by me or following a phone call.

    14. I understand that programmme management has a paramount commitment to the safety and wellbeing of children in its care and may at their discretion seek professional guidance in the case of suspected child mistreatment or abuse. Please refer to our child wellbeing policies.

    15.I understand that my child's photo may be taken while at the programme and could be used for programme promotional purposes - please advise us if you have any concerns.

    16.understand that the programme will take all reasonable precautions to protect my personal information from misuse, loss, unauthorised modification or disclosure. Under the Privacy Act 1993 I have the right of access to, and correction of, personal information held by the programme.

    17. I agree to keep the programme informed about changes to personal information provided and I will provide complete information about any medical conditions that my child has. allergies and/or

  • Dated*
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