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Consent, Acknowledgement and Waiver

(Permission Slip)

SPRING 2024

VACATION CARE

30th September - 11th October 2024

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 understand that the Kids' Castle master risk assessment plan and other risk assessment plans are available on The Kids' Castle website.

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) can be email to me by request before signing this Consent, Acknowledgement and Waiver.



I Agree

September 14, 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

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 30 SEPTEMBER 2024: Pour & Play Potions Day (DAY CAMP)

I understand that my child/ren will participate in a variety of science experiment and activities, and other indoor and outdoor activities at The Kids Castle centre. I am aware that centre is anticipating approximately 60 children for the day camp and that 4 TKC educators will be on duty along with an approved supervisor providing a child: staff ratio of 1:15. I am aware that the risk assessment plan will be available for viewing at the Kids Castle Website.

TUESDAY 1 OCTOBER 2024: NINJA KIDS BROOKVALE (EXCURSION)

I understand that my child/ren will be out of the centre between approximately 9am to 2pm and travel in a coach with seatbelts operated by NORTH SYDNEY COACH LINE. I also understand that the children will be using facilities at this indoor play centre, Ninja Kids at Brookvale, which includes jumping, climbing and parkour activities. The centre is anticipating approximately 60 children for the excursion and that 6 TKC educators will be on duty along with an approved supervisor providing a child: staff ratio of approx. 1:10. I am aware that the excursion risk assessment is available for viewing on the Kids’ Castle website.
I agreed and completed the waiver required by Ninja Kids Brookvale on the following link: https://bookings.ninjakids.com.au/ninjakids/waiver

WEDNESDAY 2 OCTOBER 2024: RC Car Racing (INCURSION)

I understand that my child/ren will participate in Radio-Controlled High Speed Car Racing activity run by Mantra4U (organised by Fun Incursions), between 2pm to 5pm. I am aware that centre is anticipating approximately 60 children for the incursion and that 4 TKC educators + 1 RC Car Racing staff will be on duty along with an approved supervisor providing a child: staff ratio of approx. 1:15. I am aware that the risk assessment is available for viewing on the Kids’ Castle website.

THURSDAY 3 OCTOBER 2024: Udonkai - Japanese Sports Day (DAY CAMP)

I understand that my child/ren will participate in a variety of sports activities at the Kids’ Castle Oval. The centre is anticipating approximately 60 children for the day camp and that 4 TKC educators will be on duty along with an approved supervisor providing a child: staff ratio of 1:15. I am aware that the risk assessment plan will be available for viewing on the Kids’ Castle Website.

FRIDAY 4 OCTOBER 2024: Ice Zoo Alexandria (Excursion)

I understand that my child/ren will be out of the centre between approximately 9am to 1pm and travel in a coach with seatbelts operated by NORTH SYDNEY COACH LINE. I also understand that the children will be using facilities at this indoor ice skating centre, Ice Zoo at Alexandria. All participants are required to wear skates so they must be at least a size nine in children’s, or they will not be able to participate in the ice skating activities. I am aware that the centre is anticipating approximately 50 children for the excursion and that 5 TKC educators will be on duty along with an approved supervisor providing a child: staff ratio of approx. 1:10. I am aware that the excursion risk assessment is available for viewing on the Kids’ Castle website.
I agreed and completed the waiver required by the Ice Zoo on the following link: https://icezoo.com/vacation-care-waiver/

TUESDAY 8 OCTOBER 2024: Melody of the Castle (DAY CAMP)

I understand that my child/ren will participate in musical activities at the Kids’ Castle centre. I am aware that centre is anticipating approximately 60 children for the incursion and that 4 TKC educators will be on duty along with an approved supervisor providing a child: staff ratio of approx. 1:15. I am aware that the risk assessment is available for viewing on the Kids’ Castle website.

WEDNESDAY 9 OCTOBER 2024: 9D Mobile Cinema (INCURSION)

I understand that my child/ren will participate in 9D Mobile Cinema experience in groups, inside a truck park at the Kids' Castle Oval, run by UNIK Events, between 9:30am to 11:30am. I am aware that centre is anticipating approximately 60 children for the incursion and that 4 TKC educators + 1 9D Mobile Cinema staff will be on duty along with an approved supervisor providing a child: staff ratio of approx. 1:15. I am aware that the risk assessment is available for viewing on the Kids’ Castle website.

THURSDAY 10 OCTOBER 2024: String Art from the Heart (DAY CAMP)

I understand that my child/ren will participate in creating String Art and other creating activities at the Kids’ Castle centre. I am aware that centre is anticipating approximately 60 children for the incursion and that 4 TKC educators will be on duty along with an approved supervisor providing a child: staff ratio of approx. 1:15. I am aware that the Indoor and Outdoor risk assessment is available for viewing on the Kids’ Castle website.

FRIDAY 11 OCTOBER 2024: Bounce Cromer (EXCURSION)

I understand that my child/ren will be out of the centre between approximately 9am to 1pm and travel in a coach with seatbelts operated by NORTH SYDNEY COACH LINE. I also understand that the children will be using facilities at this indoor play centre, BOUNCE at Cromer, which includes trampoline zones, trampoline dodgeball, cliff jump, X-Park, wall climbs and high ropes activities. I am aware that child under 110cm will not be able to participate certain activities at the Bounce. The centre is anticipating approximately 50 children for the excursion and that 5 TKC educators will be on duty along with an approved supervisor providing a child: staff ratio of approx. 1:10. I am aware that the excursion risk assessment is available for viewing on 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
  • Afternoon tea (for excursion days)
  • Water bottle
  • Wide brimmed hat / TKC purple hat (required on excursion day)
  • Short/long sleeves shirt (no singlet)
  • Enclosed shoes (no thongs, crocs, sandals, open-toed 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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