ABV Care Calvary Enrolment Application 2021

ABV CARE CALVARY CONTACT INFORMATION
Centre Manager Sharron Polley 0411 224 679 info@abvcare.com.au Educational Leader Allyson Cotter 0411 224 679 info@abvcare.com.au Child Care Subsidy Family Assistance Office Centrelink 13 12 02 other languages 13 61 50 - 8am and 8pm Mon-Fri WEBSITE: www.abvcare.com.au EMAIL: info@abvcare.com.au ACCOUNT EMAIL: accounts@abvcare.com.au OFFICE HOURS: 8:30 am – 12pm Mon to Fri SITE ADDRESS: 569 Bayswater Rd, Mt Louisa Qld 4814 POSTAL ADDRESS: PO Box 1544, Aitkenvale, Queensland 4814 SESSION TIMES AND PRICES per day: (As of 28th Jan 2020) Before School Care: 6.00 am – 8.30 am - $19.00 After School Care: 3.00 pm – 6.00 pm - $24.00 Vacation Care: 7.00 am – 6.00 pm - $53.00 Incursion/Excursion Costs are added to your Session Costs and included on your fortnightly statement.
Welcome to ABV Care Calvary
Thank you for your inquiry to send your child/ren to our ABV Care Centre. With our great facilities and qualified educators, you can be confident that your children are safe and well cared for. We know your children will love our fun and innovative programs, connect and develop in the inclusive and encouraging environment. Return your completed enrolment application and any additional required documentation for processing and upon final acceptance you will be sent a confirmation email with xplor app and CCS set up details (allow 48hrs for processing) A compulsory requirement of the enrolment application is orientation of the ABV Care Centre. Please contact the Centre Manager to book in your orientation time. Please read through the included Family information which outlines ABV Care important policies and procedures and if you have any further questions please don’t hesitate to contact the Centre Manager.
NEW FEES AS OF MONDAY 24th 2022
Before School Care: $20.00 (includes breakfast) After School Care: $25.00 (includes afternoon tea) Vacation Care: $55.00 (Incursion & Excursion costs not included) $2 waterbottle charge per child for excursion days when waterbottles are not supplied. LATE FEES 1. $5 per child per session for BSC and ASC if booking is made within 24hrs of required booking time. 2. $10 per child per week for VAC if booking is made within 24hrs of required booking time. 3. $10 per child, per week for Late Vacation Care bookings, booked after the Vacation Care closing date sent out on the parent email. LATE COLLECTION FEE If your child is not collected by the end of the session times, a late fee of $5.00 is charged for every 5 minutes or part thereof. CANCELLATION CHARGE Make cancellation 48 hours in advance of required cancellation date to avoid charges: ASC, BSC & VAC full session fee charged for cancellation/absence. EXCURSION/INCURSION CANCELLATIONS: Once an Excursion/Incursion is booked (via xplor app and a signed excursion/incursion form is submitted to ABV Care Management) you will be charged the full cost of the excursion/incursion cost, minus the day of care cost: *ALL fees will be waived if a medical certificate is provided for absent days.
BOOKING INFORMATION
BOOKINGS: Make bookings 24hrs in advance of required date to avoid a late Fee. (Booking method preference to be made via xplor app. Email or SMS are accepted. NO verbal bookings will be taken BOOKINGS ON XPLOR APP Go to Calendar tab called "bookings" at bottom of the app then in top right corner select New, Select booking (never select holiday option) at the bottom, Select date required, Select tab at bottom "request a space" then a pop up appears Select start and end time or tick all day box We ask you specify whether it is BSC Before School Care or ASC After School Care or VAC Vacation Care by entering ASC, BSC or VAC on the comment box below, then save On shopping cart on right top corner a number will appear over it, click on shopping cart, Summary will appear and click on request. Notification message will appear saying "you will be notified when your centre accepts your request." Check you have received a confirmation notification. An orange dot will appear next to the date requested & below will be the type of booking made.
CANCELLATION INFORMATION
CANCELLATION: Make cancellation 48 hours in advance of required cancellation date to avoid charges: ASC, BSC & VAC full session fee charged for cancellation/absence via xplor app. Email or SMS are accepted. NO verbal cancellations will be taken EXCURSION/INCURSION CANCELLATIONS: Once an Excursion/Incursion is booked (via xplor app and a signed excursion/incursion form is submitted to ABV Care Management) you will be charged the full cost of the excursion/incursion cost, minus the day of care cost: All fees will be waived if a medical certificate is provided for absent days. CANCELLATIONS AND ABSENCES ON APP INSTRUCTIONS Go to Calendar tab called "bookings" at bottom of app, Select date, click on requested date at bottom of screen, Select ABSENT (NEVER USE HOLIDAY OPTION), Specify, BSC Before School Care, ASC After School Care or VAC Vacation Care by entering ASC, BSC or VAC on the comment box below. A notification message will appear and then click all done.
ENROLMENT CHECK LIST - provide all required documentation listed below

ENROLMENT CHECK LIST - provide all required documentation listed below Correct CRN’s, DOB date of births for one parent/guardian and all children and wish to claim the CCS Child Care Subsidy Immunisation records for all children attending. Email info@abvcare.com.au I have received, read and signed the enrolment form Medical/behavioural information, and discussed this with the Centre Manager. Current and accurate emergency contact details A start date and I understand how bookings and fees are processed. If required Current Medical Management Plans (Anaphylaxis, Asthma. etc.) for all children attending. If required – copies of protection order or custody agreements If required - copies of protection order or custody agreements
ACCOUNT AND BOOKING SET UP INFORMATION
Account information and bookings are made via our xplor app. XPLOR APP SET UP DETAILS 1. Create an access code password from your” xplor welcome” email sent after confirmation of completed enrolment form. The xplor welcome email has a 7 day expiry limit. Check your junk folder for the email. 2. Download the "Xplor home" app from your apps store and enter your password. 3. To create a booking, go to the bookings tab and follow booking instructions in Enrolment confirmation email.
CCS SUBSIDY SET UP INFORMATION
1.When you have set up your xplor home app - go to the finance tab - CWA statement and scroll down to confirm - this will send your CWA Agreement to Centrelink (available to primary account holders only) 2. Contact Centrelink or go to your Mygov account, Centrelink tab, Menu tab, My family tab, Childcare tab, Enrolment, view details, Confirm If your children have not attended our centre for 12 weeks your CCS subsidy will cease. To reset – Contact our centre and go to your Mygov account and confirm your enrolment.
PAYMENT OPTIONS - 14 DAY ACCOUNTS
1. Electronic Funds Transfer Banking Details: Reference: Account Name (Your Surname) BSB: 084-970 Account: 159944898 2. Cash/ EFTPOS (in the office) 3. Credit Card (in the office or over the phone) 4. Centrepay organisation ID: 555 102 454K (organise payments through Centrelink)
ACCOUNT STATEMENT INFORMATION
Account statements are issued fortnightly via email. Primay account holders view statements via xplor app. Parents/Guardians may request a copy of their Family account at any time. Accounts are due for payment within 14 days of the statement being received. Please contact the Centre Manager if you are having difficulty paying your account on time. I/we accept that all signatories of the enrolment form are jointly responsible for payment of this account unless notified in writing from both parties. Where two adults share the parenting, both should sign. If the child/ren is in the custody of one parent only, only one signature is required
LATE COLLECTION OF CHILDREN
If there is an emergency and you are unable to collect your child on time, please contact the Centre Manager on 0411224679. If your child is not collected by the end of the session times, a late fee of $5.00 is charged for every 5 minutes or part thereof. If a child is not collected by 6.30pm and emergency contacts cannot be reached, the Supervisor in charge will contact the police to collect the children who are still at ABV Care Calvary. If you are continually late to pick up your children, on a regular basis you will be charged an extra fee, to cover the cost of staff wages, at our discretion.
CONDITIONS OF ENROLMENT
I/We hereby apply to have the child/ren named on this Confidential Family Enrolment Form enrolled at the ABV Care Calvary program. I/we agree to the conditions above and listed below: I am / we are fully aware that the ABV Care Calvary program reflects Calvary Christian Church’s evangelical Christian character and will be supportive of their values. I/We will actively support ABV Care Calvary staff by reinforcing the behaviour standards expected of children participating in the program. I/We will promptly inform the ABV Care Centre Manager of any changes to information provided on this Confidential Family Enrolment Form.
Date Date * / DD / MM YYYY
No 1. PARENT/GUARDIAN I have read the above account, payment, conditions, CCS set up, collection requirements and policy information and understand the effective implications if I do not abide by them. No 1. PARENT/GUARDIAN I have read the above account, payment, conditions, CCS set up, collection requirements and policy information and understand the effective implications if I do not abide by them. * First Last
Title *
Draw your signature into the box below. *

Draw or Type

No1. Parent/Guardian I understand this is a legal representation of my signature. Clear

Full Name

No1. Parent/Guardian I understand this is a legal representation of my signature.
Date of Birth Date of Birth * / DD / MM YYYY
Drivers Licence Parent No1 *
CRN Parents Centrelink -Customer Reference Number:
(For CCS purposes) Parent No1 *
Residential address - please notify us if your postal address differs from your residential address. Residential address - please notify us if your postal address differs from your residential address. *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Mobile Phone *
Work Phone
Email - Statements are emailed out fortnightly to the Primary Carer to email provided below *
Country of Birth, Cultural Background and Primary language spoken at home: (If not English) *
Authorised to collect child/ren Parent No1 *
No 2. PARENT/GUARDIAN I have read the above account, payment, conditions, CCS set up, collection requirements and policy information and understand the effective implications if I do not abide by them. No 2. PARENT/GUARDIAN I have read the above account, payment, conditions, CCS set up, collection requirements and policy information and understand the effective implications if I do not abide by them. First Last
Title
Draw your signature into the box below.

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 of Birth Date of Birth / DD / MM YYYY
Drivers Licence Parent No2
Residential address - please notify us if your postal address differs from your residential address. Residential address - please notify us if your postal address differs from your residential address.
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Mobile Phone
Work Phone
Email
Country of Birth, Cultural Background and Primary language spoken at home: (If not English)
Authorised to collect child/ren Parent No 2
MEDICAL DETAILS Name of Family Doctor MEDICAL DETAILS Name of Family Doctor * First Last
Medical Doctors Phone *
Medicare Number and expiry date *
Medical Doctors Address Medical Doctors Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
No.1 CHILD DETAILS No.1 CHILD DETAILS * First Middle Last
Gender *
Residential Address if different from Parent or Guardian Residential Address if different from Parent or Guardian
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Date of Birth Child No 1 Date of Birth Child No 1 * / DD / MM YYYY
CRN Childs Centrelink -Customer Reference Number:
(For CCS purposes) Child No1 *
Class/Year level Child No 1 *
Has this child been immunised? A copy is required - send via email info@abvcare.com.au *
Country of Birth, Cultural Background and Primary language spoken at home: (If not English)
Is the child of Aboriginal or Torres Strait Islander origin? *
Is the child part of an Australian Defence Force Family?
Is there a protection order or parenting arrangement relating to this child? (If so a copy of any arrangement must be provided to the Centre Manager).
Dietary requirements, preferences, Allergies or Restrictions. Cultural/Religious Considerations
Child Health Record Provided
Does the child have a medical management plan in place? (Anaphylaxis, Asthma..ect) If so, please provide a copy of the current plan & medications.
Medical Requirements, allergies, reactions and treatment procedures - please provide details below
Special Needs Identification

Special Needs Identification Behavioural needs Learning needs Communication needs Physical needs Other
Special Needs management plans - provide details below
No2. CHILD DETAILS No2. CHILD DETAILS First Middle Last
Gender
Residential Address if different from Parent or Guardian Residential Address if different from Parent or Guardian
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Date of Birth Child No 2 Date of Birth Child No 2 / DD / MM YYYY
CRN Childs Centrelink -Customer Reference Number:
(For CCS purposes) Child No2
Class/Year level Child N0 2
Country of Birth, Cultural Background and Primary language spoken at home: (If not English)
Has this child been immunised? A copy is required. Send via email info@abvcare.com.au
Is the child of Aboriginal or Torres Strait Islander origin?
Is the child part of an Australian Defence Force Family?
Is there a protection order or parenting arrangement relating to this child? (If so a copy of any arrangement must be provided to the Centre Manager).
Dietary requirements, preferences, Allergies or Restrictions. Cultural/Religious Considerations
Child Health Record Provided
Does the child have a medical management plan in place? (Anaphylaxis, Asthma..ect) If so, please provide a copy of the current plan & medications.
Medical Requirements, allergies, reactions and treatment procedures - please provide details below
Special Needs Identification

Special Needs Identification Behavioural needs Learning needs Communication needs Physical needs Other
Special Needs management plans - provide details below
BOOKINGS INFORMATION
All bookings on a permanent (for before and after school care only) or casual basis must be made via xplor app, email, or on the enrolment form. Booking set up instructions for the xplor app will be included in your confirmation email. Verbal bookings will not be taken or considered. Upon booking your child/ren you agree to the fees outlined in the enrolment form. Once your child is enrolled, they can attend any session, dependent on spaces available. Further Booking Information - see our Bookings and Cancellation form on our website.
START DATE START DATE * / DD / MM YYYY
CASUAL BOOKINGS Child No 1

CASUAL BOOKINGS Child No 1 Casual Before School Care Casual After School Care Casual Vacation Care
CASUAL BOOKINGS Child No 2

CASUAL BOOKINGS Child No 2 Casual Before School Care Casual After School Care Casual Vacation Care
PERMANENT BOOKINGS WEEKLY Before School Care 6-8am Child No 1

PERMANENT BOOKINGS WEEKLY Before School Care 6-8am Child No 1 Monday Tuesday Wednesday Thursday Friday
PERMANENT BOOKINGS WEEKLY Before School Care 6-8am Child No 2

PERMANENT BOOKINGS WEEKLY Before School Care 6-8am Child No 2 Monday Tuesday Wednesday Thursday Friday
PERMANENT BOOKINGS WEEKLY After School Care 3-6pm Child No 1

PERMANENT BOOKINGS WEEKLY After School Care 3-6pm Child No 1 Monday Tuesday Wednesday Thursday Friday
PERMANENT BOOKINGS WEEKLY After School Care 3-6pm Child No 2

PERMANENT BOOKINGS WEEKLY After School Care 3-6pm Child No 2 Monday Tuesday Wednesday Thursday Friday

PERMISSIONS- I give consent and permission for my child/ren : *
	Yes	No
To have medical or hospital treatment as my child/ren may require and I agree to meet any expenses as a result of such treatment.	To have medical or hospital treatment as my child/ren may require and I agree to meet any expenses as a result of such treatment.Yes	To have medical or hospital treatment as my child/ren may require and I agree to meet any expenses as a result of such treatment.No
To travel by private vehicle/ambulance in the case of an emergency and I agree to meet any expenses as a result of such an emergency.	To travel by private vehicle/ambulance in the case of an emergency and I agree to meet any expenses as a result of such an emergency.Yes	To travel by private vehicle/ambulance in the case of an emergency and I agree to meet any expenses as a result of such an emergency.No
To 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.	To 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.Yes	To 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.No
To be given medication as directed in writing by staff at ABV Care Calvary. I understand that I must provide details of the amount, time of dosage, a prescription label on the medication and the time of the last dose given to my child.	To be given medication as directed in writing by staff at ABV Care Calvary. I understand that I must provide details of the amount, time of dosage, a prescription label on the medication and the time of the last dose given to my child.Yes	To be given medication as directed in writing by staff at ABV Care Calvary. I understand that I must provide details of the amount, time of dosage, a prescription label on the medication and the time of the last dose given to my child.No
To be photographed and/or recorded for the purpose of keeping a record of child learning, observations, activities, excursions and to be used in ABV Care Calvary promotion and advertisement.	To be photographed and/or recorded for the purpose of keeping a record of child learning, observations, activities, excursions and to be used in ABV Care Calvary promotion and advertisement.Yes	To be photographed and/or recorded for the purpose of keeping a record of child learning, observations, activities, excursions and to be used in ABV Care Calvary promotion and advertisement.No
To use internet facilities under supervision of staff at ABV Care Calvary within the guidelines allowed by Calvary Christian College.	To use internet facilities under supervision of staff at ABV Care Calvary within the guidelines allowed by Calvary Christian College.Yes	To use internet facilities under supervision of staff at ABV Care Calvary within the guidelines allowed by Calvary Christian College.No
To use photos of my child/ren or photos with my child/ren in them, to post on the ABV Care social media pages.	To use photos of my child/ren or photos with my child/ren in them, to post on the ABV Care social media pages.Yes	To use photos of my child/ren or photos with my child/ren in them, to post on the ABV Care social media pages.No
To participate in ongoing incursion/excursions to the Calvary Christian Church, Calvary Christian College Sports Centre and grounds.	To participate in ongoing incursion/excursions to the Calvary Christian Church, Calvary Christian College Sports Centre and grounds.Yes	To participate in ongoing incursion/excursions to the Calvary Christian Church, Calvary Christian College Sports Centre and grounds.No
To participate in local excursions organised by the ABV Care Calvary eg. Walk to the local park.	To participate in local excursions organised by the ABV Care Calvary eg. Walk to the local park.Yes	To participate in local excursions organised by the ABV Care Calvary eg. Walk to the local park.No
To participate in activities offered in ABV Care Calvary, requesting in writing prior to the event if I do not wish my child to participate in any specific activity.	To participate in activities offered in ABV Care Calvary, requesting in writing prior to the event if I do not wish my child to participate in any specific activity.Yes	To participate in activities offered in ABV Care Calvary, requesting in writing prior to the event if I do not wish my child to participate in any specific activity.No

EMERGENCY CONTACTS
Please complete the following section with for people you would like as an emergency contact for your child/ren. We understand that other family members or friends may, on occasions, need to collect your children. We ask that you email the service with the details of who will be collecting the child/ren and the date as to when that is to occur. I understand that any person's sent to pick up my child/ren whose name is not on the emergency contact list will not be allowed to collect my child/ren unless I have provided the details to ABV Care in writing, email or text. Any child that is collected by a person who is not on an emergency contact list signed by a parent/guardian will result in possible public service action, for example Police may be called and asked to respond appropriately.
No1 Emergency Person Name No1 Emergency Person Name * First Last
Address Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Drivers Licence
Relationship to Child *
Phone *
No1 Person Authority: *

No1 Person Authority: To Collect child from ABV Care Centre To Consent to Medical Treatment To Concent to transport by Ambulance
No2 Emergency Person Name No2 Emergency Person Name First Last
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Drivers Licence
Relationship to Child
Phone
No2 Person Authority:

No2 Person Authority: To Collect child from ABV Care Centre To Consent to Medical Treatment To Concent to transport by Ambulance
ALL ABOUT ME
Child no 1 Favourite animal, colour, food
Child no 1 What does you child like to do?
Child no 2 Favourite animal, colour, food
Child no 2 What does you child like to do?
OFFICE USE ONLY

OFFICE USE ONLY Immunisation record received Child health record sighted CRN’s and DOB date of births confirmed Copy of any medical management plans (Anaphylaxis, Asthma..ect) Medical/behavioural information has been discussed Start date and bookings and fees have been discussed Emergency contact detail completed Copy of important contacts and policy agreements has been provided. Contact added to ABV Care Phone Student Photo added for records Date entered on database ______________ Centre Manager Name & Signature ____________________________________