2026 Re-enrolment form

KCS OSHC 2026 Re-enrolment Form

Please complete this form if your child/ren will be attending before and/or after school care or vacation care. If you have completed an enrolment form in the last 6 months you do not need to complete this form.

Family Details:

Primary carer First Name *

Primary carer Surname *

Home Address: *

Primary carer phone number: *

Primary carer email address: *

Family Medical Practitioner/Health Centre Name *

Medical Practitioner Phone: *

Medical Practitioner Address: *

Medicare Number:

Medicare Expiry Date:

Are there are court orders/parenting agreements in place? *

YesNo

Please provide details

Child/ren Details:

What Service will your child/ren be attending? *

Carlton South OSHCKyeemagh OSHC

First Name *

Last Name *

Date of birth *

In 2026 what grade will your child be in? *

What school does your child attend? *

Please specify school

Are your child's immunisations up to date?

YesNo

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

Please provide details:

Does your child have any health or dietary requirements? *

YesNo

Please provide details:

Do you need to add additional child details? *

YesNo

Child 2 - First Name *

Child 2 - Last Name *

Child 2 - Date of birth: *

Child 2 - In 2026 what grade will your child be in? *

Child 2 - What school does you child attend? *

Child 2 - Please specify school

Child 2 - Are your child's immunisations up to date? *

YesNo

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

Please provide details:

Child 2 - Does your child have any health or dietary requirement's? *

YesNo

Please provide details:

Do you need to add additional child details? *

YesNo

Child 3 - First Name *

Child 3 - Last Name *

Child 3 - Date of birth *

Child 3 - In 2026 what grade will your child be in? *

Child 3 - What schoool does your child attend? *

Please specify school

Child 3 - Are your child's immunisations up to date? *

YesNo

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

Please provide details:

Child 3 - Does your child have any health or dietary requirements *

YesNo

Please provide details:

Emergency & Authorised Contacts for child/ren:

Emergency contacts must be someone other than parents – we need details for at least one emergency contact who isn’t a parent.

If you’d like to authorise someone to collect your child/ren from care, please provide their email address (note: it must be different from the parent’s email).

You can add contacts and set their authorisation permissions through the Home App. Just log in to your account and check that you contacts are up to date under Contacts section in the Account tab.

To remove a contact, please email your request to childcare@kcs.org.au

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 acknowledging that you have read and understood the following documents:

You are also confirming that you have completed and updated your child/ren’s emergency contacts and authorisation permissions via the Home App, as required.

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:

You are also confirming that you have completed and updated your child/ren’s emergency contacts and authorisation permissions via the Home App, as required.

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:

You are also confirming that you have completed and updated your child/ren’s emergency contacts and authorisation permissions via the Home App, as required.

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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