How did you hear about skids?:*
Programme or School Name:*
Childs name (1):*
Birthday of the Child (1):*
Childs gender (1):
   
Current school (1):
Anticipated Commencement date:
Parent / Caregiver (1):*
Email address:*
Home phone:*
Work phone:
Address:*
Parent / Caregiver (2):
Email address (2):
Home phone (2):
Work phone (2):
Address (2):
Emergency contacts other than parents/caregivers:*
Please tell us the names of people who are approved to collect your child from sKids:

Please note that we may not release your child to an unlisted person without prior written notification. If any person not listed and not known to the programme staff, should attempt to collect your child from the programme permission will be refused.

Names of people who are definitely NOT authorised to collect your child/ren and instructions to us should they turn up:

Please read this before selecting the booking: A full time booking means your child will attend the programme from Monday to Friday every week. A part time booking means your child will attend less than 5 days per week on a regular basis. Casual booking means your child can attend the programme on any given day by informing us in advance. sKids Fees may vary from programme to programme, please contact your local programme owner for a fee structure.

For After School Care

Type of Afterschool booking, please select:
   
   
Part time booking, please select the day(s):
     
     
Any comments regarding your booking:

For Before School Care

Type of Before School booking, please tick:
     
Part time before school booking, please select the day(s)::
     
    
Any comments regarding your before school booking:

For Holiday Programme

Type of Holiday programme booking:
   
Holiday period:
     
    
Please select day(s) required: Week 1:
     
    
Please select day(s) required: Week 2:
     
    
Please select day(s) required: Week 3 (if relevant):
     
    
Please select day(s) required: Week 4 (if relevant):
     
    
Please indicate whether half day is morning or afternoon :

Additional Information

Does your child have any of the following:
Other health issues:
If s/he is on any medication please list it:
If your child has allergies, please advise severity and what action should be taken:
Please list any information or special instructions regarding the health and well-being of your child:
Child's Doctor & Phone:

Please select one of the following options for medication for your child:

OPTION A - I hereby give permission to the staff of the above sKids programme to administer medically prescribed medication to my child. I understand that the staff will record each administration of medication. I acknowledge that all care will be taken and will not hold sKids responsible.

OPTION B - I hereby notify sKids that my child carries medication with them and will self medicate when necessary. I understand that my child is to let staff know when they self medicate so that a record may be kept and any further instructions followed.

OPTION C - My child must not be given any medication whilst in sKids care

Medication:*
   
Comments or any other instructions to help us to care for your child:

Terms & Conditions

1. For those that wish to retain a regular booking payment is required 2 weeks in advance. Shorter-term payments may be arranged by automatic payments directly to the programme bank account. Please see the programme manager and obtain the appropriate form.

2. The rate charged is dependent on a ‘firm’ booking. When a child attends extra days, which are outside of the confirmed booking, these will be charged at the casual rate. The ‘early pick up’ rate is only payable for confirmed early pick up bookings.

3. Two weeks notice, in writing, must be provided if a child is to be withdrawn from the programme or there is a change required to the days of care, otherwise a 2-week fee is payable based on the previous booking.

4. NO refunds are given for absences and all public holidays are charged at the applicable rate for bookings normally required that day.

5. Interest on overdue invoices shall accrue daily from the date when payment becomes due, until the date of payment, at a rate of two and one half percent (2.5%) per calendar month (and at sKids sole discretion such interest shall compound monthly at such a rate) after as well as before any judgment.

6. In the event that your payment is dishonoured for any reason then you shall be liable for any dishonour fees incurred by sKids.

7. If you default in payment of any invoice when due, you shall indemnify sKids from and against all costs and disbursements incurred by sKids in pursuing the debt including legal costs on a solicitor and own client basis and sKids collection agency costs.

8. Without prejudice to any other remedies sKids may have, if at any time you are in breach of any obligation (including those relating to payment) sKids may suspend or terminate the enrolment and is absolved of its other obligations under the terms and conditions. sKids will not be liable to you for any loss or damage that you may suffer because sKids has exercised its rights under this clause.

9. If any account remains overdue after thirty (30) days then an amount of the greater of twenty dollars ($20.00) or ten percent (10%) of the amount overdue (up to a maximum of two hundred dollars ($200.00)) shall be levied for administration fees which sum shall become immediately due and payable.

10. By agreeing to these terms and conditions you authorise sKids to:

a. collect, retain and use any information about you for the purpose of assessing your creditworthiness or marketing products and services to You; and

b. disclose information about you, whether collected by sKids from you directly or obtained by sKids from any other source, to any other credit provider or any credit reporting agency for the purposes of providing or obtaining a credit reference, debt collection or notifying a default by you.

11. Where you are an individual the authorities under this clause are authorities or consents for the purposes of the Privacy Act 1993.

12. You shall have the right to request from sKids a copy of the information about you retained by sKids and the right to request sKids to correct any incorrect information about you held by sKids.

Please tick here if you have read, understood and agree to the Terms & Conditions:

Please complete to enrol more than one child

Full name of Child (2):
Birthday of the child (2):
Childs gender (2):
   
After/Before school care bookings (2):
Full name of Child (3):
Birthday of the child (3):
Childs gender (3):
   
After/Before school care bookings (3):

If you don't hear from us by the end of the next working day after sending your information, please phone Shandi on 0800 274 1722

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