School Holiday Enrolment

If you have any difficulty filling out the form, please come to our center or call us 9547 2555, our friendly staff will help you!

Child's Details

Restricted Access Details

Parent/Guardian Details

Emergency Contact Details

To be contacted in case Parent/ Guardian #1 or #2 cannot be contacted
Does this Emergency Contact have lawful authority from you, to:

Details of Additional people who can collect this child:

Details of Medical Practitioner:

Details of Cultural Background:

Claiming CCS (Child Care Subsidy):

Important! To claim the child care subsidy, this section must be completed. If no information is completed here, you will be charged the full fee of our program. If you are claiming CCS, parents name and gender are still required.

Parent Declarations:

Please Sign these Declarations by filling in your details below
I Authorise Springvale Indoor Sports to:

Thank you for your enrolment!