January School Holiday Program

BOOKINGS HAVE NOW CLOSED

16 November 2020

Download Consent form

or register below

Register Now

Participant's Details - note youth must be aged 10-17 and live within the West Tamar Council.

Child's Name

Parent/Guardian’s Name

Parent/Guardian's Phone Number

Address

Child's Date of Birth dd/mm/yyyy

Parents Email Address - will be used for updates.

School (select)

Emergency contact 2 (different to listed parent) - Name and phone number

Medical Information - Medical Conditions, Allergies, Dietary Requirements (please specify)

Please indicate which activities you wish to book into

Tuesday 13th October - QVAG Museum

QVMAG $5.00 - (choose Yes or No)

Wednesday 14th October - Laser Tag & Airtime 360 (FULL)

Airtime 360 and Lasertag $10.00- (choose Yes or No)

Thursday 15th October - The Range (FULL)

The Range $5.00 - (choose Yes or No)

Friday 16th October - Beacy Skatepark Drop In Skate School workshop

From 11AM - 3PM, families are welcome to attend the skatepark workshop. Under 10's must be supervised by a parent/guardian at all times.

Book for Drop in Skate School workshop via this link: https://events.humanitix.com/drop-in-skate-school-community-workshop

Bus Stop Location

Please note: Bus times & pickup locations will be communicated via email to registered participants, when registrations are closed.

Please indicate which bus pick up location you will require (note a bus is not supplied for every activity)

Parental Agreement

I give permission for my child/children to travel on the bus provided by West Tamar Council. I authorise program staff to contact emergency services and obtain any medical assistance necessary in an accident or emergency, including anaesthetic or surgical procedures by a qualified medical practitioner. I agree to cover any medical or dental expenses incurred for my child/children. I confirm the health information provided is accurate. All information is kept strictly confidential and used only to support participant safety and wellbeing. I agree to provide my child with the exact cash required for the activity before they board the bus or begin the activity, unless alternative arrangements have been made with the Youth Development Officer or payment has been made via phone or in person at a WTC Office. I acknowledge that if my child displays inappropriate behaviour, becomes ill, is injured, or needs to leave the program for any valid reason, I am responsible for collecting them promptly at my own expense and will do so immediately upon request from Council staff.

Please indicate your understanding

I agree to the above

Photogrpahic Consent

I consent for my childs photograph/video to be taken and used for the purpose of West Tamar Council marketing and advertising of youth programs. These images will only used on Council registered websites and social media pages such as YAC West Tamar on Facebook, yacwesttamar on Instagram and westtamaryouth.com.au, as well as all West Tamar Council pages and sites. I understand if i select NO that my child will not be photographed at any Council programs or events.

West Tamar Council aims to make the school holiday program accessible to all young residents. If your child has any needs, barriers, or financial difficulties, please contact Council on 63239200. Suggestions for future activities can be emailed to youth@wtc.tas.gov.au.