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Consent, Acknowledgement and Waiver

(Permission Slip)

SEPTEMBER &
OCTOBER 2023
VACATION CARE

A.B.N. 64 385 249 440

Phone: 0468 481 604

Castle Cove Public School, Kendall Road, Castle Cove NSW 2069

Email: tkcteam@thekidscastle.com.au


I agree that a link to the relevant Risk Assessments for the activities (and for the other Vacation Care Program activities that are not incursions or excursions) has been forwarded to me by email for me to review before signing this Consent, Acknowledgement and Waiver. Copies are also available at the Centre for me to review.

The TKC Master Risk Control Plan referred to in each of the Risk Assessments is available on The Kids' Castle website
(https://thekidscastle.com.au/about-tkc/policies-and-procedures/#risk-assessments).

I Agree

June 16, 2024

Photographs

Please note photographs will be taken by Centre staff during the school holiday period to be displayed at the Centre, in our newsletter and on our website.

I give permission for my child’s/children’s photograph to be taken and displayed at the Centre, in the Centre newsletter and on the Centre website.*
No
Yes

Face Painting and Hair Spraying

Face painting and Coloured Hair Spraying will be available during the school holiday period.

I am happy for my child/ren to go home with Funny faces and crazy hair.

NO PERMISSION SLIP | NO PLAY

I give permission for my child/ren nominated below, to participate in the activities listed below (please tick the appropriate boxes):

MONDAY 25 SEPT 2023: Taronga Zoo (Excursion)^

I understand that my child/ren will be out of the centre between approximately 9am and 4:30pm and that travel will be by NORTH SYDNEY COACH LINE. I also understand that the children may participate in animal encounter sessions run by trained animal keepers at the Taronga Zoo. I am aware that centre is anticipating approximately 45 children for the excursion and that 6 TKC staff members will be on duty along with an approved supervisor providing a child: staff ratio of approx. 1:8. I am aware that a risk assessment is available for viewing at the Kids Castle website.

TUESDAY 26 SEPTEMBER 2023: Candle Making Workshop (Day Camp)

I understand that the children will participate in candle making and other art & craft activities at The Kids Castle centre. I am aware that centre is anticipating approximately 40-60 children for the day camp and that 3-5 TKC staff members will be on duty providing a child: staff ratio of approx. 1:15. I am aware that a Master Risk Control Plan is available for viewing at the Kids Castle Website.

WEDNESDAY 27 SEPTEMBER 2023: Tie Dye Workshop (Day Camp)

I understand that the children will participate in tie dye and other art & craft activities at The Kids Castle centre. I am aware that centre is anticipating approximately 30-45 children for the day camp and that 3-5 staff members will be on duty providing a child: staff ratio of 1:15. I am aware that a Master Risk Control Plan will be available for viewing at the Kids Castle Website.

THURSDAY 28 SEPTEMBER 2023: Laser Warriors (Incursion)

I understand that the children will participate in LASER TAG activities run by Laser Warriors at CCPS school oval. I am aware that centre is anticipating approximately 40-60 children for the incursion and that 3-4 TKC staff members + 1 Laser Warriors’ operator will be on duty along with an approved supervisor providing a child: staff ratio of approx. 1:15. I am aware that a risk assessment is available for viewing at the Kids Castle website.

FRIDAY 29 SEPTEMBER 2023: TKC Junior Master Chefs (Day Camp)

I understand that the children will participate in a variety of cooking activities at The Kids Castle centre. I am aware that centre is anticipating approximately 40-60 children for the day camp and that 3-5 staff members will be on duty providing a child: staff ratio of 1:15. I am aware that a Master Risk Control Plan will be available for viewing at the Kids Castle Website.

TUESDAY 3 OCTOBER 2023: DIY Bath Fizzy Workshop (Day Camp)

I understand that the children will participate in bath fizzy (bath bomb) making and other art & craft activities at The Kids Castle centre. I am aware that centre is anticipating approximately 40-60 children for the day camp and that 3-5 TKC staff members will be on duty providing a child: staff ratio of approx. 1:15. I am aware that a Master Risk Control Plan is available for viewing at the Kids Castle Website.

WEDNESDAY 4 OCTOBER 2023: Inflatable Obstacle Course (Incursion)

I understand that the children will participate in an INFLATABLE OBSTACLE COURSE run by JUMP2U at The Kids Castle Centre. I am aware that centre is anticipating approximately 40-60 children for the incursion and that 3-4 TKC staff members + 1 JUMP2U operator will be on duty along with an approved supervisor providing a child: staff ratio of approx. 1:15. I am aware that a risk assessment is available for viewing at the Kids Castle website.

THURSDAY 5 OCTOBER 2023: Pottery Workshop (Day Camp)

I understand that the children will participate in clay/pottery making activities at The Kids Castle centre. I am aware that centre is anticipating approximately 30-45 children for the day camp and that 3-4 staff members will be on duty providing a child: staff ratio of 1:15. I am aware that a Master Risk Control Plan will be available for viewing at the Kids Castle Website.

FRIDAY 6 OCTOBER 2023: Archie Brothers Cirque Electriq (Excursion)^

I understand that my child/ren will be out of the centre between approximately 9am and 3pm and that travel will be by NORTH SYDNEY COACH LINE. I also understand that the children may participate in various arcade games, laser tags, virtual reality, bowling, and bumpy cars. I am aware that centre is anticipating approximately 45 children for the excursion and that 5 TKC staff members will be on duty along with an approved supervisor providing a child: staff ratio of approx. 1:10. I am aware that a risk assessment I am aware that a risk assessment is available for viewing at the Kids Castle website.

^ Please note: for excursions, children must wear a purple bucket hat with TKC logo and mobile number. If the child/ren attend the excursion day without this hat, they will be provided with one and a $10 fee will be added to the family’s account. Child/ren can keep this hat and reuse it in future TKC excursions.

I have read and understood the conditions attached to the Vacation Care Program. *
I agree

RISK WARNING

This warning constitutes a “risk warning" for the purposes of the Civil Liability Act 2002 (NSW). All of the activities undertaken at or organised by the Centre, whether by incursion or excursion or otherwise and whether provided by an external service provider or by the Centre itself, are “recreational activities” for the purposes of the Civil Liability Act 2002 (NSW).

By signing this Consent, Acknowledgment and Waiver as parent or guardian for the abovementioned child/ren, I acknowledge and agree that there are inherent risks of harm to children participating in each and all of the Vacation Care Program activities, including the incursions and excursions that I have nominated in the above.

The risks in respect to each of the Vacation Care Program activities include:

  1. Those risks set out in the Risk Assessments (if any) corresponding to the Vacation Care Program activity;
  2. The risk of a slip, fall, collision and the like, and resultant injury, where the Vacation Care Program activity involves any form of physical activity or use of materials that may spill or cause any form of trip or slip hazard;
  3. The risk of injury though use or misuse by any person of any item of equipment, utensil, apparatus, appliance, implement and the like, that are reasonably associated with the relevant Vacation Care Program activity;
  4. The risk of injury associated with misbehaviour of any child or misadventure taking in account the nature of the school grounds and buildings that the Centre operates from and in; and/or
  5. Any other obvious risk associated with any Vacation Care Program activity that, by its nature, involves a significant risk of physical harm, for example, the risk of injury where the activity may involve swimming or playing in water.

I further acknowledge and agree that in relation to all such Vacation Care Program activities and by reason of this Risk Warning, provided the Centre complies with all written laws of New South Wales or the Commonwealth of Australia that establish specific practices or procedures for the protection of personal safety, the Centre owes no duty of care in respect of any form of risk associated with the activity.

I have read and understand these risk warnings. *
I agree

WAIVER

In respect to each of the Vacation Care Program activities I have enrolled my child/ren in, I hereby acknowledge and agree that:

1. I have been advised and thoroughly informed and made all due inquiry in respect to the risks associated with each of the activities.

2. I have imparted on my child/ren attending such activities that:

(a) while participating in relevant activities, they must wear required safety equipment as directed by the Centre staff or other persons formally engaged to conduct the activity; 

(b) they must follow all directions, instructions and safety rules given to them by Centre staff or other persons formally engaged to conduct the activity; and 

(c) they should ask any questions and seek assistance in relation to the proper use of any equipment, materials or facilities associated with the activity.

3. The activities may be physically demanding, require a basic level of physical fitness or skill and may result in forces being exerted on the body that may activate or aggravate pre-existing physical injuries, conditions, or congenital defects and that, taking into account the nature of the activities and the health and condition of my child/ren, I have determined that he/she /they do not suffer any illness, ailment or incapacity that may be aggravated or advanced by participation in any activity and that no such illness, ailment or incapacity operates so as to increase any risk associated with participation in such activities;

4. I understand that the activities involve certain inherent risks and exposure to the natural elements and that I am consenting to my child/ren participating in the activities at their/my own risk; 

5. I hereby release and hold harmless the Centre, its principals, committee, servants and/or agents from any suit, demand or claim whether present, future or contingent arising as a consequence of and not limited to death, injury or disablement received by my child/ren during the participation in the said activities; and 

6. Nothing in this Waiver excludes, restricts or modifies any condition, warranty, right or remedy, implied or imposed by any Statute or Regulation that cannot lawfully be excluded, restricted or modified. All express or implied representations, conditions, warranties and provision, whether based in Statute, or otherwise relating to provision of products and services pursuant to or contemplated by this document that are not contained within these terms are excluded to the extent permitted by law.

I have read and understand these waiver details. *
I agree

Emergency Contacts

If the emergency contacts you provided are now different from those in your original enrolment form, please EMAIL your new details to tkcteam@thekidscastle.com.au


Children to bring:

  • Morning tea
  • Lunch
  • Water bottle
  • Wide brimmed hat / TKC purple hat (required on excursion day)
  • Short/long sleeves shirt (no singlet)
  • Enclosed shoes

Please label ALL items and belongings.

First Parent or Guardian's Name

First Name*

Last Name*

Phone*
First Parent or Guardian's Date of Birth*
First Parent or Guardian's Signature*
Second Parent or Guardian's Name

First Name*

Last Name*
Second Parent or Guardian's Date of Birth*
Third Parent or Guardian's Name

First Name*

Last Name*
Third Parent or Guardian's Date of Birth*
Fourth Parent or Guardian's Name

First Name*

Last Name*
Fourth Parent or Guardian's Date of Birth*
Fifth Parent or Guardian's Name

First Name*

Last Name*
Fifth Parent or Guardian's Date of Birth*
Sixth Parent or Guardian's Name

First Name*

Last Name*
Sixth Parent or Guardian's Date of Birth*
Seventh Parent or Guardian's Name

First Name*

Last Name*
Seventh Parent or Guardian's Date of Birth*
Eighth Parent or Guardian's Name

First Name*

Last Name*
Eighth Parent or Guardian's Date of Birth*
Ninth Parent or Guardian's Name

First Name*

Last Name*
Ninth Parent or Guardian's Date of Birth*
Tenth Parent or Guardian's Name

First Name*

Last Name*
Tenth Parent or Guardian's Date of Birth*
Parent or Guardian's Email Address

Email
A signed copy of this waiver will be sent to the email address you provide.
Parent(s) or Court-Appointed Legal Guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the Parent or Court-Appointed Legal Guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Signature*
Electronic Signature Consent*
By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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