OSHC Re-enrolment Form

Returning families must complete a re-enrolment form for each child prior to booking care for 2025 - bookings will not be actioned until this is done. This form needs to be completed if your child is attending before and/or after school care or vacation care.

Child Details

First Name *

Last Name *

Date of birth *

In 2025 what grade will your child be in? *

What school does your child attend? *

Please specify school

Home Address: *

Yes - there are court appointed orders/parenting agreements relating to this child

Please provide details

Please upload copy of order

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If we have a copy of your current Court Order/Parenting Agreement on file there is no need to upload an additional copy.

What is your child's cultural background? *

What language is spoken home? *

Immunisation Status

Should we have an outbreak of an infectious diease, it is important that we know your child's immunisation status.

Yes - my child is immunised

No - my child is not immunised

Health Information

Child's Medicare Numer

Medicare Expiry Date

Child's Reference number

Medical Practitioner/Health Centre Name *

Medical Practitioner Phone: *

Medical Practitioner Address: *

Please tick as appropriate:

Does your child have asthma?

Does your child have any medical allergies?

Is your child receiving regular prescription medication?

Has your your child been diagnosed or at risk of anaphylaxis?

Does your child have an epipen or anapen?

Does your child have any other health conditions?

Please provide details of your child's health condition/medication/allergyPlease note any additional health information for your child e.g. if your child requires a particular sun screen/insect repellent

If other, please provide details

Parent/Carer Details

Parent/Carer accounts are linked via the email address - each parent/guardian must have a separate email address provided, so they can sign children in and out of care, receive notifications and book casual care as needed.

Primary Carer First Name *

Primary Carer Surname *

Address same as child

YesNo

Primary Carer address:

Primary carer email address: *

Primary carer phone number: *

Additional Carer First Name

Additional Carer Surname

Same address as child?

YesNo

Additional Carer address:

Additional Carer email address:If this person will be collecting your child, an email address must be provided.

Additional Carer phone number:

Consent:

I authorise this person to be an emergency contactI authorise this person to collect this childI authorise this person to make medical decisions on behalf of this childI authorise this person to give permission for this child to attend incursions and excursionsI authorise this person to to give permission for the child to be be transported by the service or on transportation arranged by the service

Emergency Contacts

Emergency contacts are NOT parents - we must have the details for at least one emergency contact other than the parents. If you wish to authorise a contact to collect your child from care, then an email address must be provided, it cannot be the same email as the parent.

Contacts can be added via the Home App, please check your App to check that your contacts are upto date - contacts can only be removed by emailing your request to childcare@kcs.org.au

Emergency Contact Details:

First Name *

Last Name *

Address: *

Phone number *

Email address

Relationship to child *

Authorisation *

I authorise this person to be an emergency contact.I authorise this person to collect this child. This will allow them to sign your child in and out of care using the Centre iPad (contact must have an email address provided)I authorise this person to authorise administration of medication on behalf of this child.I authorise this person to authorise an educator to take the child outside the education and care services premises.I authorise this person to authorise the child being transported by the service or on transportation arranged by the service.

Consents

KCS Publication Consent

I give permission for the service to use photos taken of my child in KCS publications including but not limited to Newsletters, Annual Reports and KCS website. *

AgreeDisagree

Xplor Consents

Do you consent for the service to take photographs and videos of your child during normal activities and excursions for the purposes of recording their learning journey via the Xplor platform? *

AgreeDisagree

Declarations

By signing this form you are agreeing to and accepting liability for any fees that may be incurred as part of the care arrangement and acknowledling that you have read and understood the following documents:

Please remember we require seven (7) days notice to cancel or swap care otherwise you will be charged for the session, additional care can be added at any time subject to availability.

By signing this form you are agreeing to and accepting liability for any fees that may be incurred as part of the care arrangement and acknowledling that you have read and understood the following documents:

Please remember we require seven (7) days notice to cancel or swap care otherwise you will be charged for the session, additional care can be added at any time subject to availability.

By signing this form you are agreeing to and accepting liability for any fees that may be incurred as part of the care arrangement and acknowledling that you have read and understood the following documents:

Please remember we require seven (7) days notice to cancel or swap care otherwise you will be charged for the session, additional care can be added at any time subject to availability.

Name: *

Date *

Signature *

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