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Home Enrolments Outside Hours Care Enrolment Application

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Entry ID
Information About Your Child
First name*
Surname*
Preferred Name
Date of Birth*
Age at time of enrolment*
Gender*
- Male
- Female
Country of Birth*
Address*
Street Address Suburb State Postcode
Indigenous Status*
Nationality
Does your child speak other language at home?*
- Yes
- No
Please state the language/s
Is the applicant a fostered child?*
- Yes
- No
Please upload the relevant paperwork
Drop files here or
Religion
Please upload a copy of your child’s birth certificate
Drop files here or
Desired Entry Year*
Desired Start Date*
Child's Centrelink Customer Reference Number (CRN)
Year Level*
Class Teacher*
Before School Care and After School Care
Session Preference
Permanent Bookings
I would like to book my child into PERMANENT BEFORE SCHOOL CARE on the following days:
- Mondays
- Tuesdays
- Wednesdays
- Thursdays
- Fridays
I would like to book my child into PERMANENT AFTER SCHOOL CARE on the following days:
- Mondays
- Tuesdays
- Wednesdays
- Thursdays
- Fridays
I would like to book my child into PERMANENT VACATION CARE on the following days:
- Mondays
- Tuesdays
- Wednesdays
- Thursdays
- Fridays
Casual Bookings
I would like to book my child casually into:
- Casual Before School Care
- Casual After School Care
- Casual Vacation Care
Before school Care on the following dates
After School Care on the following dates
- I/We am/are unsure of the dates and would like to nominate them as needed. Please note if choosing this option, please email the OSHC office on oshcare@wcc.qld.edu.au with the dates you will require. These dates are not then guaranteed until you have had a response from the OSHC office.
Please be aware that Centrelink will cease your child’s enrolment if they have not attended OSHC for a period of 13 weeks or more. If this occurs, we will require a new CWA to be completed prior to your child recommencing at OSHC. The OSHC office will contact you directly regarding this.

Westside Christian College Bus Policy
- My child is booked to catch a bus only and in complying with the schools Bus policy I am required to sign this enrolment form. I/ We agree and understand that in the event that I am not able to meet my child at the designated bus stop or at my/our home my/our child will be returned to OSHC for their safety.
- I/We understand and agree that the information in this form will only be used in the above circumstances and will not be entered into the software unless needed.
- I/We understand that the normal After School Care charge will apply to this and this fee must be paid on the day via eftpos or no later than 7 days of the invoice being received.

Your Child's Medical Details
Medicare Number*
Expiry Date*
Medical Practitioner
Medical Practice
Phone
Practice Address*
Street Address City State Postal Code
Please upload a copy
Drop files here or
Does your child have siblings that attend an Approved Early Childhood Service (eg Kindergarten or Day Care Service)?*
- Yes
- No
Please indicate the number of siblings in care

Information about your child’s health and wellbeing
Is your child at risk of anaphylaxis?*
- Yes
- No
Does your child have an anaphylaxis plan in place?*
- Yes
- No
Please provide a copy of this plan
Drop files here or
Does your child have asthma?*
- Yes
- No
Does your child have an asthma management plan in place?*
- Yes
- No
Please provide a copy of this plan
Drop files here or
Does your child have epilepsy?*
- Yes
- No
Does your child have an epilepsy management plan in place?*
- Yes
- No
Please provide a copy of this plan
Drop files here or
Does your child take medication regularly?*
If an educator will be required to administer medication a separate Medication Authority form is be completed by the parent/guardian. All medication is to be provided in the original packaging with the child’s name and dosage.
- Yes
- No
Please provide details
Does your child have a medical condition that may impact their time at OSHC?*
- Yes
- No
Please provide details
Does your child have a General Health Plan from a GP in place?*
- Yes
- No
Please provide details
Are your child’s immunisations up to date?*
- Yes
- No
Please provide a copy of their immunisation records. Please provide an Immunisation Statement from your MY GOV account or from a GP.
Drop files here or
- My child has a medical exemption
- I have chosen as a personal preference not to immunise my child
Immunisation Medical Exemption
Drop files here or
Does your child have any dietary restrictions?*
- Yes
- No
Please provide details
Are these restrictions medical or personal choice?
Does your child have any food intolerances?*
- Yes
- No
What causes this intolerance?
Is this intolerance mild or severe?
What are the symptoms of this?
Is there a current management plan in place for this?
Does your child have any special needs or a diagnosed disability?*
- Yes
- No
Please provide details of a diagnosed disability or disability being currently accessed
Is your child accessing specialist support or Allied Health Services?*
- Yes
- No
Please provide details of services being accessed (ie Paediatrician, Occupational Therapy, Speech pathology, hearing or vision services)
Please include all relevant reports from specialists
Drop files here or
Are there any Behavioural management plans, requirements or practices that you would like educators to implement that are an important part of your child’s lifestyle?*
- Yes
- No
Please provide details
Please provide a management plan or relevant details
Drop files here or
Does your child require support with self-care skills?*
- Yes
- No
Does your child require support with interpersonal relationships?*
- Yes
- No
Does your child need any extra support with mobility?*
- Yes
- No
Does your child require any assistance with communication?*
- Yes
- No
Does your child require additional learning support?*
- Yes
- No
Does your child have difficulty managing emotions?*
- Yes
- No
Does your child have additional support needs that are not mentioned above?*
- Yes
- No
If you answered yes to one or more of these please provide details
Are there any additional requirements or support needs not mentioned above?
We believe that collaboration with families assists is to provide the best possible care for your child. We would encourage you to maintain an open line of communication during your time with us

Parenting Arrangements and Court Orders
This enrolment record must include details of any court orders, parenting orders or parenting plans in relation to the child or access to the child. A parent includes a guardian of a child or a person who has parental responsibility for a child under a decision or order of a court. Any changes to a court order, parenting order or parenting plan must be provided to the OSHC office as soon as possible.
Is there a Court Order or Parenting Plan relating to your child?*
- Yes
- No
Is your child named on a Protection Order?*
- Yes
- No
Is there anybody who is legally denied access to your child?*
- Yes
- No
If you have answered Yes to any of the above questions you will need to provide a copy of the specific legal documentation to Westside Christian College OSHCare Staff.
Drop files here or

Cultural Background and Family Traditions
We would like to know more about your family. Are there any religious or cultural practices that are significant to your child?
What “family” traditions do you celebrate together? Eg Dinner at Grandparents each week, camping on long weekends etc
Are there specific songs/stories you share with your child?

Expectations
Please outline your expectations of your child’s time at OSHC/Vacation Care?
Family Participation
Please indicate any areas in the OSHC or Vacation Care where family members may be able to offer assistance or wish to participate in. Examples of this include sharing particular skills or talent you have with the children, or helping with book covering, sewing or maintenance at the OSHC or vacation care.

Parent/Guardian Information
If both Parents/Guardians are responsible for the enrolment of the child they must both be entered on this application.
1st Parent / Guardian
This is the parent eligible to claim CCS. Please state this person’s CRN number below.
Title*
First name*
Surname*
Relationship to the Child
- Mother
- Father
- Step Parent
- Guardian
Date of Birth*
Do you reside with the child*
- Yes
- No
Address*
Same as child

Street Address City State Postcode
Mobile*
Home Phone
Work Phone
Email*
Enter Email Confirm Email

Please ensure your email is correct as we will send a confirmation message to you once you've finished.
Parent's Centrelink Customer Reference Number (CRN)
Cultural Background / Place of Birth*
Language/s Spoken
Indigenous Status*
Religion
Present Church
Workplace*
Occupation*
Occupational Group*
- Group 1
  School Principal, Accountant, Lawyer, Archaeologist, Auditor, Doctor, Physiotherapist, Solicitor, Senior executive of a large organisation, Vet.
- Group 2
  Actor, Administration Manager, Bank Manager, Draftsperson, Engineer, Financial Advisor, Nurse, Professional Musician, Surveyor, Systems Engineer, Teacher.
- Group 3
  Accounts Clerk, Administration Officer, Auctioneer, Boilermaker, Builder, Business Owner, Carpenter, Chef, Consultant, Costume Maker, Crane Operator, Customs Officer, Electrician, Golfer, Graphic Designer, IT Manager, Liaison Officer, Manager, Minister, Missionary, Operation Assistant, Parts Interpretor, Pastor, Police Officer, Postal Worker, Printer, Defence Force, Sales Consultant, Sales Manager, Self Employed, Technician, Treasury Dealer.
- Group 4
  Bus Driver, Cashier, Checkout Operator, Child Care, Cleaner, Clerk, Dental Assistant, Family Day Care, Labourer, Meat Processor, Miner, Office Assistant, Purchasing Officer, Retailer, Security Officer, Shop Assistant, Sign Manufacturer, Storeman Teachers Aide, Transport, Truck Driver, Truckshop Convenor, Tutor, Youth Worker.
- Group 8
  Not in paid work in last 12 months.
- Group 9
  Not stated or unknown.
Will you be responsible for payment of accounts*
- Yes
- No
2nd Parent / Guardian
Title
First name
Surname
Relationship to the Child
- Mother
- Father
- Step Parent
- Guardian
Date of Birth
Do you reside with the child
- Yes
- No
Address
Same as child

Street Address City State Postcode
Mobile
Home Phone
Work Phone
Email
Enter Email Confirm Email

Please ensure your email is correct as we will send a confirmation message to you once you've finished.
Cultural Background / Place of Birth
Language/s Spoken
Indigenous Status
Religion
Present Church
Workplace
Occupation
Occupational Group
- Group 1
  School Principal, Accountant, Lawyer, Archaeologist, Auditor, Doctor, Physiotherapist, Solicitor, Senior executive of a large organisation, Vet.
- Group 2
  Actor, Administration Manager, Bank Manager, Draftsperson, Engineer, Financial Advisor, Nurse, Professional Musician, Surveyor, Systems Engineer, Teacher.
- Group 3
  Accounts Clerk, Administration Officer, Auctioneer, Boilermaker, Builder, Business Owner, Carpenter, Chef, Consultant, Costume Maker, Crane Operator, Customs Officer, Electrician, Golfer, Graphic Designer, IT Manager, Liaison Officer, Manager, Minister, Missionary, Operation Assistant, Parts Interpretor, Pastor, Police Officer, Postal Worker, Printer, Defence Force, Sales Consultant, Sales Manager, Self Employed, Technician, Treasury Dealer.
- Group 4
  Bus Driver, Cashier, Checkout Operator, Child Care, Cleaner, Clerk, Dental Assistant, Family Day Care, Labourer, Meat Processor, Miner, Office Assistant, Purchasing Officer, Retailer, Security Officer, Shop Assistant, Sign Manufacturer, Storeman Teachers Aide, Transport, Truck Driver, Truckshop Convenor, Tutor, Youth Worker.
- Group 8
  Not in paid work in last 12 months.
- Group 9
  Not stated or unknown.
Will you be responsible for payment of accounts
- Yes
- No

Additional Family Information
Current Status of Birth Parents
- Married
- Divorced
- Separated
- Defacto
- Single
- Widowed
Other Children in the family
Name Age School Attending

Emergency Contacts and Authorised Nominees
In accordance with government regulations parents and guardians are required to nominate emergency contacts and authorised nominees to carry out the following responsibilities for their child.

Emergency Contact: A person notified in the case of an emergency where the parents cannot be contacted.

Authorised Collection Nominee: A person who has been given permission by the parent to drop off or collect the child from Westside Christian College OSHC. For identification purposes, a driver's licence may be required to be shown at pick up.

Authorised Medical Nominee: A person who is authorised for the administration of medications or to consent to medical treatment for the child.

Authorised Excursion Nominee: A person who is authorised to accompany the child outside the service premises.
Emergency Contact / Authorised Nominee 1
Name*
Relationship to child*
Address
Street Address City State Postcode
Phone*
*
- Emergency Contact
- Authorised Medical Nominee
- Authorised Collection Nominee
- Authorised Excursion Nominee
Emergency Contact / Authorised Nominee 2
Name
Relationship to child
Address
Street Address City State Postcode
Phone
- Emergency Contact
- Authorised Medical Nominee
- Authorised Collection Nominee
- Authorised Excursion Nominee
Emergency Contact / Authorised Nominee 3
Name
Relationship to child
Address
Street Address City State Postcode
Phone
- Emergency Contact
- Authorised Medical Nominee
- Authorised Collection Nominee
- Authorised Excursion Nominee

Permissions and Consents
Medical Consent
*
- I / We understand that every effort will be made to contact me/us in the event of an emergency.
*
- We authorise the nominated supervisor or educator to provide any required first aid and to facilitate medical attention should this be required in the event of a sudden illness or emergency at the OSHC or whilst on an excursion off site. I/We give permission for OSHC staff to facilitate ambulance, medical or hospital services in the event of an emergency or accident involving my/our child. I /We accept and take responsibility for any costs associated with obtaining these services and/or any subsequent treatments.
Photographic and Video Permissions
Photographs and video footage may be used at times by authorised educators or support staff to document your child’s time at the OSHC. Please tick the following box to indicate your approval.
- I hereby authorise the nominated supervisor or educator to record video footage and take photographs of my child at the OSHC.
In addition to photos and video footage being used at the OSHC you may also choose to tick one or more of the following options. Please tick any one or more of the options stated below to indicate your consent.
- Photographs can be used in OSHC Newsletters.
- Photographs can be used in Westside Christian College Newsletters.
- Photographs can be used as promotional material for advertising the OSHC to the general public.
- Photographs and video footage can be used on the OSHC Facebook pages, which may be accessed by the general public.
- Photographs and video can be used on the Westside Christian College’s website which is accessible to the general public.
Activities permission
- I/We encourage my child to start their homework while attending the OSHC program.
- I/We give permission for my child to view G rated movies, programs and games while at the OSHC or vacation care. An email would be sent by the OSHC coordinator prior to movies being shown, giving specific details.
- I/We give permission for my child to view PG rated movies, programs and games while at the OSHC or vacation care. An email would be sent by the OSHC coordinator prior to movies being shown, giving specific details.
- I/We give permission for my child to participate in face painting activities.
Health and Safety Information
- I/We give permission for my child to apply/have insect repellent applied for them as supplied by this OSHC
My child has allergies that prevent the use of OSHC insect repellent so I will supply an alternative*
- Yes
- No
- I/We give permission for my child to apply/have 50 plus sunscreen applied for them as supplied by this OSHC
My child has allergies that prevent the use of OSHC sunscreen so I will supply an alternative*
- Yes
- No
*
- I/We give permission for staff to apply latex (eg bandaids) to my child? If no please provide a suitable alternative to be stored at the service.
- I/We give permission for my child to have one dose of Panadol if required. (Staff will attempt to contact you prior to giving your child this).
My Child has allergies that prevent the use of Panadol so I will provide an alternative. Please ensure this has a doctor or pharmacy label with your child’s name and dosage information.*
- Yes
- No
Please provide details

Enrolment Agreement
When enrolling my child at Westside Christian College OSHC/Vacation Care I understand and agree to the following:
1. I /We understand that all permanent Before and After School Accounts must stay in two weeks credit at all times.
2. All Fees are payable at all times including absences and family holidays unless the service is given a government directive to close.
3. All Fees are payable weekly and a service fee may be charged if payment is not made within 7 days of the invoice appearing on our software.
4. Casual Bookings for either OSHC or vacation care will be invoiced the week after the booking has occurred and will be payable within 7 days.
5. If I/We intend to terminate my/our child’s permanent enrolment at the OSHC or Vacation Care I /We understand and agree to giving at least two weeks written notice to the OSHC office or forfeit two weeks’ fees in lieu of notice. I/We are aware that if my/our child does not attend the OSHC or Vacation Care during the notice period CCS cannot be claimed and I/We will be required to pay full fees.
6. I/We understand that for a cancellation request for vacation care to be accepted, without a fee being charged, the cancellation must be made at least five working days prior to the vacation care program commencing. The cancellation fee is equivalent of the full fee if changes are made after this time.
7. I/We agree that if my child does not attend OSHC for a period of 13 weeks or more. Centrelink will cease my child’s CWA and I/We will be required to agree to another CWA before my child’s enrolment can be reactivated by Westside Christian College OSHC.
8. If my/our child is suffering an infectious illness or heavy cold that may be passed onto other children or staff I/We will not send her/him to OSHC or Vacation Care.
9. I/We agree to notify the co-ordinator promptly of any absences and give a reason for this absence. In all other cases, even due to sickness, I/We agree to pay the fees as a late cancellation fee.
10. I/We will ensure a responsible person drops my/our child to the OSHC or Vacation Care takes them to an educator prior to leaving.
11. I/We understand that I am responsible for signing my child/ren in and out of the service using the appropriate software.
12. If I/We are not able to collect my/our child from the OSHC or Vacation Care I will ensure that an authorised Nominee (as identified on page 9 of this enrolment form) will collect my/our child prior to the OSHC or Vacation Care closing.
  1. I/We understand that the OSHC or Vacation Care educators will not allow my child to leave the premises with a person who is not an authorised Nominee unless I have notified the OSHC office in writing.
  2. I/We understand that the OSHC or Vacation Care educators will not release my/our child to a person who appears to be under the influence of drugs or alcohol at the time of collector or who may pose any risk to my/our child.
13. I/We understand that if I/we are late collecting our child from the OSHC or Vacation Care the college reserves the right to charge a Late Collection fee. This will be at the OSHC Coordinators discretion.
14. I/We understand that my child/ren may be excluded from the program if their behaviour is unacceptable, a danger to themselves, others or the environment.
15. I/We agree to notify Westside Christian College OSHC immediately of any change in our or our emergency contacts, address’s and or telephone numbers.
16. I/We have read the OSHC handbook (available on the website or in the OSHC office) and agree to co-operate in all things to the best of my/our abilities. I have discussed the enrolment of my child with the Co-ordinator and understand the importance of family co-operation. I agree to be bound by the constitution/Rules and /or any bylaws of Westside Christian College OSHC.
17. I/We agree to abide by the Policies and Procedures of Westside Christian College OSHC.
18. I/We agree to the following privacy policy:
  1. Westside Christian College OSHC collects personal information, including sensitive information about children and parents or guardians before and during the course of a child’s enrolment. The primary purpose of collecting this information is to enable OSHC to provide a high level of care for your child. Some of the information we collect is to satisfy OSHC’s legal obligations, particularly to enable OSHC to discharge it’s duty of care.
  2. Certain laws governing or relating to the operation of OSHC require that certain information is collected. These include Public Health and Chid protection laws.
  3. Health information about children is sensitive information within the terms of the National Privacy Principles under the Information Privacy Act 2009. We ask that you provide medical information about children at the beginning of each year and when circumstances warrant.
  4. OSHC, from time to time, discloses personal information to others for administrative purposes. This includes government departments and medical practitioners.
  5. If we do not obtain the information referred to above, we may not be able to enrol or continue the enrolment of your child.
  6. Parents may seek access to personal information collected about them and their child by contacting OSHC.
  7. If you provide the College with the personal information of others, such as doctors or approved persons/contacts we would encourage you to inform them that you are disclosing that information to OSHC also. In doing this you give permission for both the College and OSHC to access the same information.
19. I/We agree that all of the above information is true and correct at the time of completing this application form.
*
- I understand and agree to the above terms and conditions

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General Enquiries

Ph: (07) 3437 9000
Email: reception@wcc.qld.edu.au

Postal Address

P.O. Box 282
Goodna QLD 4300

Secondary Campus

65 Stuart Street
Goodna QLD 4300

Primary Campus

110 Stuart Street
Goodna QLD 4300

Absentee Line

Ph: (07) 3437 9009

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