Loading...

Consent, Acknowledgement and Waiver

(Permission Slip)

SUMMER 2024-2025

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

November 6, 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):

THURSDAY 19 DECEMBER 2024: Build Your Own Christmas Plush Toy (INCURSION)

I understand that the children will participate in building a stuffed toy at The Kids Castle centre. The materials are supplied by Stufflers.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 a Master Risk Control Plan will be available for viewing at the Kids Castle Website.

FRIDAY 20 DECEMBER 2024: Festival Friday (DAY CAMP)

I understand that the children will participate in indoor and outdoor Christmas themed activities at The Kids Castle centre. I am aware that centre is anticipating approximately 15-30 children for the day camp and that 2 TKC educators will be on duty along with an approved supervisor 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.

MONDAY 6 JANUARY 2025: Innovation Coding & 3D Printing Workshop (DAY CAMP)

I understand that the children will participate in coding, robotic and 3D printing activites which required to use ipads, 3D printers and other electronic devices at The Kids Castle centre. Children might handle PLA printing filaments and watch the printing process in front of the enclosed 3D printers. I am aware that the centre is anticipating approximately 45-60 children for the day camp and that 3-4 TKC educators will be on duty along with an approved supervisor providing a child: staff ratio of 1:15. I am aware that a Master Risk Control Plan is available for viewing at the Kids Castle Website.

TUESDAY 7 JANUARY 2025: Beach Adventure at Clifton Gardens (EXCURSION)**

I understand that my child/ren will be out of the centre between approximately 9am to 3pm and that travel will be by NORTH SYDNEY COACH LINE. I also understand that the children will be participating in outdoor games and activities at the park & beach at the Clifton Gardens Mosman. I am aware that the children might get into the water during the activities. I am aware that I need to provide my child/children with clean towels and change of clothes. I understand my child/children must wear enclosed shoes (water shoes or sneakers), not sandles or cros or open toe shoes. I am aware that their shoes might get wet as they must keep shoes on during all activities. I am aware that the centre is anticipating approximately 30 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. 1:5. I am aware that a risk assessment is available for viewing at the Kids Castle website.

WEDNESDAY 8 JANUARY 2025: Splash Party (DAY CAMP)

I understand that the children will participate in outdoor water games and activities at The Kids Castle. I am aware that I need to provide my child/children with clean towels and change of clothes/shoes. I understand my child/children’s must wear enclosed shoes to particiapte in any activities (no sandles, cros or any type of open toe shoes). I am aware that their shoes might get wet as they must keep shoes on during the water activities. I am aware that centre is anticipating approximately 45-60 children for the day camp and that 3-4 TKC educators will be on duty along with an approved supervisor 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 9 JANUARY 2025: Laser Warriors (INCURSION)

I understand that the children will participate in laser tag games and activities run by Laser Warriors at the at the Kids’ Castle on the CCPS school oval. I am aware that the centre is anticipating approximately 45-60 children for the incursion and that 3-4 TKC educators + 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 on the Kids’ Castle website.

FRIDAY 10 JANUARY 2025: 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.

MONDAY 13 JANUARY 2025: Dance Fit (DAY CAMP)

I understand that the children will participate in various video dance games (for example Just Dance) and other dance activities at The Kids Castle. I am aware that centre is anticipating approximately 45-60 children for the day camp and that 3-4 TKC educators will be on duty along with an approved supervisor 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 14 JANUARY 2025: Colourful Creations - 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 45-60 children for the day camp and that 3-4 TKC educators will be on duty along with an approved supervisor 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.

WEDNESDAY 15 JANUARY 2025: Mobile Rock Climbing (INCURSION)

I understand that the children will participate in mobile rock climbing activities run by BASE ZERO at The Kids Castle oval. The mobile climbing wall can cater up to 4 climbers at a time. Participant must be minimum 91cm in height and wearing safety harness. I am aware that centre is anticipating approximately 45-60 children for the incursion and that 3-4 TKC educators + 1 BASE ZERO 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 16 JANUARY 2025: 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. 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.

FRIDAY 17 JANUARY 2025: VR Quest (EXCURSION)**

I understand that my child/ren will be out of the centre between approximately 9am to 2pm and that travel will be by NORTH SYDNEY COACH LINE. I also understand that the children will be using the facilities at this indoor virtual reality play centre, run by VR QEST. I am aware that Children will be wearing virtual reality headsets, and sit on seat that are design for the virtual reality games. I am aware that centre is anticipating approximately 50 children for the incursion and that 5 TKC educators + 1 VR Quest instructor 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 is available for viewing on the Kids’ Castle website.

MONDAY 20 JANUARY 2025: Carnival Games (DAY CAMP)

I understand that the children will participate in carnval games and activities at The Kids Castle oval. I am aware that centre is anticipating approximately 45-60 children for the day and that 3-4 TKC educators will be on duty along with an approved supervisor providing a child: staff ratio of approx. 1:15. I am aware that a risk assessment is available for viewing at the Kids Castle website.

TUESDAY 21 JANUARY 2025: Ultimate Family Entertainment Centre (EXCURSION)**

I understand that my child/ren will be out of the centre between approximately 9am to 3pm and that travel will be by NORTH SYDNEY COACH LINE. I also understand that the children will be using the facilities at this indoor play centre, which including trampoline zone, trampoline dodgeball, trampoline foam pits, trampoline climbing walls, spin bumper car, arcade games, giant slides and play equipment. I am aware that 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 a risk assessment is available for viewing at the Kids Castle website.
I have completed and agreed to the terms on the waiver form by Ultimate Family Entertainment Centre. I understand my child/children will not be able to participate this activity without completing this waiver form: https://waiver.smartwaiver.com/w/5692e3320c1d7/web/

WEDNESDAY 22 JANUARY 2025: Bubble Science (DAY CAMP)

I understand that the children will participate in science activities and other indoor and outdoor activities at The Kids’ Castle centre. I am aware that the centre is anticipating approximately 45-60 children for the day camp and that 3-4 TKC educators will be on duty along with an approved supervisor providing a child: staff ratio of 1:15. I am aware that a Master Risk Control Plan will be available for viewing on the Kids’ Castle Website.

THURSDAY 23 JANUARY 2025: Moving Bodies Indoor Ninja Warrior & Parkour Courses (EXCURSION)**

I understand that my child/ren will be out of the centre between approximately 9am to 1pm and that travel will be by NORTH SYDNEY COACH LINE. I also understand that the children will be using the facilities at this indoor play centre. I am aware that 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 a risk assessment I am aware that a risk assessment is available for viewing at the Kids Castle website.

FRIDAY 24 JANUARY 2025: Life Cycle with Raptor Reptiles (INCURSION)

I understand that the children will participate in animal encounter and NAIDOC related activities run by Raptor Reptiles at The Kids Castle. I am aware that centre is anticipating approximately 30 children for the incursion and that 2 TKC educators + 1 Raptor Reptiles 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.

TUESDAY 28 JANUARY 2025: Minute to Win It (DAY CAMP)

I understand that the children will participate in Minute To Win It games and other indoor and outdoor activities at The Kids’ Castle centre. I am aware that the centre is anticipating approximately 45-60 children for the day camp and that 3-4 TKC educators will be on duty along with an approved supervisor providing a child: staff ratio of 1:15. I am aware that a Master Risk Control Plan will be available for viewing on the Kids’ Castle Website.

WEDNESDAY 29 JANUARY 2025: Fliptastic Gymnastics (INCURSION)

I understand that the children will participate in a mobile gymnastics program with a variety of gymnastics equipment including balance beams, mini trampolines, bars, and a 12 metre Air Track run by FIT N FUN ACADEMY at the CCPS School Hall. I am aware that centre is anticipating approximately 45-60 children for the incursion and that 3-4 TKC educators + 1 FIT N FUN ACADEMY instructor 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 on the Kids’ Castle website.

THURSDAY 30 JANUARY 2025: Kids Castle KItchen (DAY CAMP)

I understand that the children will participate in a variety of cooking activities, and other indoor and outdoor activities at The Kids’ Castle centre. I am aware that the centre is anticipating approximately 45-60 children for the day camp and that 3-4 TKC educators will be on duty along with an approved supervisor providing a child: staff ratio of 1:15. I am aware that a Master Risk Control Plan will be available for viewing on the Kids’ Castle Website.

FRIDAY 31 JANUARY 2025: Nerf & Archery Day (INCURSION)

I understand that the children will participate in Nerf & Archery games and activities run by ZOCCER SPORTS at The Kids Castle oval. I am aware that centre is anticipating approximately 30 children for the incursion and that 2 TKC educators + 1 SOCCER SPORTS 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.

MONDAY 3 FEBRUARY 2025: Weird and Wonderful Pets (INCURSION)

I understand that the children will participate in ANIMAL ENCOUNTER run by FEATHERED FRIENDS at The Kids Castle. I am aware that centre is anticipating approximately 45-60 children for the incursion and that 3-4 TKC educators + 1 FEATHERED FRIENDS 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.

TUESDAY 4 FEBRUARY 2025: Active Kids (Day CAMP)

I understand that the children will participate in outdoor sports games and indoor activities at The Kids Castle. 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 a Master Risk Control Plan will be available for viewing at the Kids Castle Website.

WEDNESDAY 5 FEBRUARY 2025: TKC Cinema (Day CAMP)

I understand that the children will watching G/PG movies at The Kids Castle. 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 a Master Risk Control Plan will be 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
  • 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
  • For water play day camp/excursion activities – towels, change of clothes, spare bags for wet items

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
Your signed waiver will be sent to the email address provided here and is available for download for three days via URL attachment.
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.


One or more problems exist. Please scroll up.




Powered by  Smartwaiver - TRY IT FREE!