Bookings open 7am Monday 26 November 2018

Please complete this form to request a place in one of our Vacation Care programs. Please select carefully as there are NO cancellations once your booking is processed.

Please ensure your family / new child is registered before you complete this form.

Daily fee for Vacation Care is $69.00.  If you wish to claim Child Care Subsidy (CCS) you will need to complete a CCS assessment online through your myGov account.

Northern Beaches Council
vacationcare@northernbeaches.nsw.gov.au
9942 2312

Please note all fields with an * are mandatory. 

Child 1
Sex
Date Selection
Please select carefully as there are NO cancellations once your booking is processed
Cromer Vacation Care
Forestville Vacation Care
Harbord Vacation Care
Manly Vale Vacation Care
Pre-School Vacation Care
Are there any court orders in place for this child? *
Uploads
Please provide a copy of the orders Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png txt pdf doc docx.
If necessary photograph/s of prohibited person/s Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png.
Additional Needs *
Children with Additional Needs
Please Specify
Add another child?
Child 2
Sex
Date Selection
Please select carefully as there are NO cancellations once your booking is processed
Cromer Vacation Care
Forestville Vacation Care
Harbord Vacation Care
Manly Vale Vacation Care
Pre-School Vacation Care
Are there any court orders in place for this child? *
Uploads
Please provide a copy of the orders Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png txt pdf doc docx.
If necessary photograph/s of prohibited person/s Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png.
Additional Needs *
Children with Additional Needs
Please Specify
Add another child?
Child 3
Sex
Date Selection
Please select carefully as there are NO cancellations once your booking is processed
Cromer Vacation Care
Forestville Vacation Care
Harbord Vacation Care
Manly Vale Vacation Care
Pre-School Vacation Care
Are there any court orders in place for this child? *
Uploads
Please provide a copy of the orders Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png txt pdf doc docx.
If necessary photograph/s of prohibited person/s Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png.
Additional Needs *
Children with Additional Needs
Please Specify
Add another child?
Child 4
Sex
Date Selection
Please select carefully as there are NO cancellations once your booking is processed
Cromer Vacation Care
Forestville Vacation Care
Harbord Vacation Care
Manly Vale Vacation Care
Pre-School Vacation Care
Are there any court orders in place for this child? *
Uploads
Please provide a copy of the orders Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png txt pdf doc docx.
If necessary photograph/s of prohibited person/s Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png.
Additional Needs *
Children with Additional Needs
Please Specify
Parent / Guardian Details
Family Details
Has your family attended Northern Beaches Council Vacation Care in previous holidays? *
Please register
Priority of Access *
Are both parents work / study / training?
Is the parent working / study / training?
Payment
Please select *Note - all accounts are issued at the end of the holiday period
Declaration and Indemnity
I hereby give consent for the participant(s) named above to attend the prescribed activities. I acknowledge that during participation in the activity my child(ren) will be exposed to the obvious risks associated with such activities. I indemnify Northern Beaches Council, its officers and agents and keep them indemnified against all claims, demands, actions and liabilities of any kind (other than due to wilful negligence) arising from my child’s/children’s participation in the activity. I authorise Northern Beaches Council staff, in the event of any accident or illness involving my child(ren), to obtain such medical assistance as they believe may be required and agree to meet all expenses thereby incurred. I understand that there are no cancellations, refunds, credits or transfers once my booking has been processed, unless a medical certificate is supplied within one week of the day missed. I give permission for my child(ren) to attend any excursions programmed on the days they are enrolled. I acknowledge that G and PG rated movies may be shown at the centre. I declare that the information I have provided on this form and in my Hubworks! registration is correct to the best of my knowledge.
I agree *
Terms and Conditions

- I have read and agree to the terms and conditions in the School Holiday brochure / website, including the no-cancellation policy, and the declaration and indemnity on this form
- I give permission for my child to attend and have read the risk assessment and information contained in the School Holiday brochure/website for the excursions programmed on the days I have selected on this form.
- I have read and agree to the Medical Treatment Consent as detailed in the School Holiday brochure/website.

I agree *
Date