Kool Kidzz Camp Registration Form

*** WAVERLEY ***
New Child Registration Form - Summer 2019/20

Registered before? Please login

Add Emergency Contact

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Family Details
Parent / Guardian 1
Please list the contact person linked for Child Care Subsidy purposes (if applicable)
Secondary Contact
Password
Set up a password to your account. Your new account allows you to update, edit and ensure quick & easy bookings online.
Passwords don't match, please try again
Emergency Contacts
Approved Authorised Nominees
Emergency contacts and people authorised to collect children, other than parents/guardians (must be over 18).
I authorise the following persons to collect my child/ren from the service.
Contact #1
Contact #2
Kool Kidzz provides a Vacation Care program for school-aged children on a permanent basis.
Please note, your child must be at least 5 years of age and / or enrolled in school to attend Kool Kidzz
Children Details


Cultural Information
Please note that it is a requirement of the Department of Education that Kool Kidzz Vacation Care gather this information
Medical Conditions
Add Another Child
Authorisations

I, [[PARENT NAME]]

Parent or Guardian Consent
Summary & Payment
Child Name Week 1 Week 2 Week 3 Total Payment
Total Sum: $

Your booking has been registered with us. Please ensure your payment is finalised to confirm your child's booking.

Booking Reference Number:
Parent / Guardian Name:
Children Names:
Payment Total:

Payment Options

Secure payment via eWAY
MasterCard, Visa and Amex

Booking fee less the Child Care Subsidy
The gap fee due will be sent to you in a separate
statement shortly

To ensure your EFT payment reaches Kool Kidzz account, please email your remittance to [email protected]

Info