Name of Parent Claiming CCB: name/s: Have you used Sutherland Shire Council’s Vacation Care before? Yes No TERMS & CONDITIONS Fee Payments In applying for enrolment, I hereby acknowledge that I am wholly responsible for all fees payable to Sutherland Shire Council, in respect to my child/ren being in care. I understand that any fees paid are not refundable or transferable. I am aware that bookings are subject to availability and the early bird rate will not apply after the enrolment closing date. Please Refer to the current Schedule of Fees & Charges on the Council’s Website. I am aware that I am required to complete either my credit card details or direct debit details on the attached form. I am aware that I am liable to pay for the days and excursions requested on this form (subject to availability) and I cannot cancel or request an exchange of days. I am aware that I can add days and make payment at that time Care Benefit & Child Care Rebate Any request for a CCB backdate can only be done up to 30 days from the end of the Vacation Care period. I understand that I am responsible for registering for Child Care Benefit and Child Care Rebate. I acknowledge that if there is no Child Care Benefit or Child Care Rebate approval at the time of my booking I am liable to pay full fees. Injury or Loss to Person or Personal Property I understand that whilst every care and precaution will be taken, Sutherland Council and its staff are not responsible for any injury, damage or loss to my child or their possessions whilst at the Centre or on an excursion. Privacy And Storage Of Information The personal information that Council is collecting from you is for the purposes of the Privacy and Personal Information Protection Act 1998 (“the Act”). The information you have supplied will be stored at Council while your child is attending care and electronically for Child Care Benefit purposes. This information will then be stored in Council archives for up to 7 years. The intended recipients of the personal information are: Authorised Officers within Sutherland Shire Council A person otherwise authorised by law to inspect the records. Council is collecting this information for the purpose of maintaining accurate child-care information and parental contact details. In addition, Council may use this information for time to time in order to contact you to inform you of updated children’s services information. OFFICE USE ONLY File Name: Entered By: Family Code: F0 Date Entered: Receipt: Journal:
WEEK 2 Childs Name Age Monday Tuesday Wednesday Thursday Friday 2nd October 3rd October 4th October 5th October 6th October 1) CENTRE CLOSED 2) 3) 4) Week 2 Description No. Children Excursion Fee Total Payable Tuesday 03/10/17 Bee Garden Sutherland (Optional All Ages Excursion) X $20.00 = $ Tuesday 03/10/17 Movies @ Miranda (10-14 year olds Optional Excursion) X $25.00 = $ Wednesday 04/10/17 Silent Disco (Compulsory Incursion) X $15.00 = $ Friday 06/10/17 Kidtopia @ Parramatta Park (Optional All Ages Excursion) X $35.00 = $ Fee for Excursions Week 2 = $ Yes No If the optional excursions/incursion are unavailable I would still like to be booked in for the days at the centre You will be advised if any excursions/incursions are unavailable ** The Bird Rate is $52.00 plus excursion / activity costs on bookings received before the closing date ** ** The Daily Rate is $57.00 plus excursion / activity costs on bookings received after the closing date ** Bird closing date is Sunday 17th September 2017 at Midnight. EXCURSION PERMISSIONS