ABV Care December Vacation Care Incursion/Excursion Form 2021
ABV Care December Vacation Care Incursion/Excursion Form 2021
Students Name No 1
Students Name No 1
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First
Last
Students Name No 2
Students Name No 2
First
Last
Emergency Contact Name
Emergency Contact Name
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First
Last
Emergency Contact Phone
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Email
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I grant permission for my child/ren to participate in the below incursion/excursions. I authorise the Director/Centre Manager in charge consent, where it is impractical to communicate with me, for the child to receive medical or surgical treatment as may be deemed necessary. “I grant permission for my child/ren to swim in the Kirwan Aquatic Centre on Wednesday 8 December 2021 and participate in wet day activities at ABV Care Centre in January 2022.
Campbells Coaches
*As per Campbells Coaches standards & regulations, not all buses have fixed seatbelts. For the buses that have seatbelts - ABV staff will ensure that children are seated with a seatbelt secured. For the buses that do not have fixed seatbelts, ABV Staff & Campbells Coaches Driver will ensure that the appropriate number of children will be assigned to each seat they will be reminded of the safety requirements.
Parent/ Guardian Signature. Draw your signature into the box below and THEN select the boxes the days your child/ren are attending.
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Draw
or
Type
I understand this is a legal representation of my signature.
Clear
Full Name
I understand this is a legal representation of my signature.
Date
Date
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DECEMBER WEEK 1
DECEMBER WEEK 1
Wednesday 8 Dec 2021 $15 Pool Day
Children are split into 3 categories for swimming. Carefully assess and select which one best applies to your child’s swimming ability
LOCATION: Kirwan Aquatic Centre 64 Hudson St, Kirwan QLD 4817 PURPOSE: For children to engage in new environments and participate in physical play ACTIVITY:Pool, swimming, tropical splash, waterslides, obstacle course, ice blocks supplied TRANSPORT: Campbells Buses COST: $15 RATIO: 1:5 approx, 15 leaders to 75 children PERSON IN CHARGE: Sharron Polley, Allyson Cotter and ABV Care Staff RISK ASSESSMENT: Available upon Request
Child No 1 - Children are split into 4 categories for swimming. Carefully assess and select which one best applies to your child’s swimming ability -
Child No 1 - Children are split into 4 categories for swimming. Carefully assess and select which one best applies to your child’s swimming ability -
Non Swimmer - toddler play pool
Average Swimmer Slides and 1 Metre Pool area
Average Swimmer Tropical Splash
Strong Swimmer Slides and 2 metre pool area
My Child requires a floatation device (provided by Parent)
Child No 2 - Children are split into 4 categories for swimming. Carefully assess and select which one best applies to your child’s swimming ability -
Child No 2 - Children are split into 4 categories for swimming. Carefully assess and select which one best applies to your child’s swimming ability -
Non Swimmer - toddler play pool
Average Swimmer Slides and 1 Metre Pool area
Average Swimmer Tropical Splash
Strong Swimmer Slides and 2 metre pool area
My Child requires a floatation device (provided by Parent)
THURSDAY 9 Dec 2021 $5 Oriental Day
LOCATION: ABV Care Centre 569 Bayswater Rd, Mount Louisa QLD 4814 PURPOSE:For children to learn about Filipino culture through activities and play ACTIVITY: Cooking, lantern making, Chinese fan COST: $5 FOOD: Asian Foods RATIO: 1:15 approx, 5 leaders to 75 children PERSON IN CHARGE: Sharron Polley, Allyson Cotter and ABV Care Staff RISK ASSESSMENT: Available upon Request
FRIDAY 10 Dec 2021 $5 RED & GREEN DAY
LOCATION: ABV Care Centre 569 Bayswater Rd, Mount Louisa QLD 4814 PURPOSE:For children to be creative, team players and develop motor skills ACTIVITY: Christmas tree art, Tie, Dye, Candy Cane Fishing TRANSPORT: Nil COST: $5 RATIO: 1:15 approx, 5 leaders to 75 children PERSON IN CHARGE: Sharron Polley, Allyson Cotter and ABV Care Staff RISK ASSESSMENT: Available upon Request
DECEMBER WEEK 2
DECEMBER WEEK 2
TUESDAY 14 Dec 2021 $15 Movie Day
LOCATION: BCC Cinema 10 Little Fletcher St, Townsville QLD 4810 PURPOSE: for children to participate in community activities and enjoy new experiences ACTIVITY: Cinema, "Boss Baby", movie snack packs , master shoot out, Tennis Matches TRANSPORT: Campbell's Coaches COST: $15 RATIO: 1:15 approx, 5 leaders to 75 children PERSON IN CHARGE: Sharron Polley, Allyson Cotter and ABV Care Staff RISK ASSESSMENT: Available upon Request
WEDNESDAY 15 Dec 2021 $10 Crafty Day
LOCATION: ABV Care Centre 569 Bayswater Rd, Mount Louisa QLD 4814 PURPOSE:For children to be creative, team players and develop motor skills ACTIVITY:Pottery making, hand art, ceramic art, TRANSPORT: Nil COST: $10 RATIO: 1:15 approx, 5 leaders to 75 children PERSON IN CHARGE: Sharron Polley, Allyson Cotter and ABV Care Staff RISK ASSESSMENT: Available upon Request
THURSDAY 16 Dec 2021 Sporty Thursday
LOCATION: ABV Care Centre and Calvary Sports Centre 569 Bayswater Rd, Mount Louisa PURPOSE:for children to learn new skills and engage in physical play ACTIVITY: Tennis, Volleyball, Group Dance, Basetktball, soccer TRANSPORT:NIL FOOD: snacks, muffins RATIO: 1:15 approx, 5 leaders to 75 children PERSON IN CHARGE: Sharron Polley, Allyson Cotter and ABV Care Staff RISK ASSESSMENT: Available upon Request
DECEMBER WEEK 3
DECEMBER WEEK 3
TUESDAY 21st Dec 2021 $15 Tenpin Tuesday
LOCATION:Kirwan Tenpin 101 Bamford Ln, Kirwan QLD 4817 PURPOSE: For children to develop physically, learn new skills and work together in teams ACTIVITY: Tenpin bowling, jumping castles, dodgeball TRANSPORT:Campbells Coaches COST: $15 RATIO: 1:15 approx, 5 leaders to 75 children PERSON IN CHARGE: Sharron Polley, Allyson Cotter and ABV Care Staff RISK ASSESSMENT: Available upon Request
FRIDAY 24 Dec 2021 $15 Christmas Eve Party
LOCATION: ABV Care Centre 569 Bayswater Rd, Mount Louisa QLD 4814 PURPOSE:for children to celebrate and play together ACTIVITY: Jumping Castle and slide, santa Limbo, Christmas dance party, candy cane hunt COST: $15 FOOD: Chicken rolls, Ice Cream RATIO: 1:15 approx, 5 leaders to 75 children PERSON IN CHARGE: Sharron Polley, Allyson Cotter and ABV Care Staff RISK ASSESSMENT: Available upon Request