UWA Kids Sports Holiday Programs are

fun and exciting, multi-sport day camps

for children aged 5-13 that run during

school holidays.

Kids Sports Holiday Programs are run by an experienced team

of enthusiastic and friendly leaders. With the focus on

participation and having a good time, this program is excellent

for introducing kids to new sports in a friendly, non-competitive

environment, and for keeping them active and happy during the

school holidays.

All leaders are trained in a variety of sports, and each holds a

First Aid Qualification and a Working With Children Check.

Enrolments Due to its success and the need to adequately

staff the program, enrolment one week before the program

commences is recommended. Please refer to the UWA Kids

Sports Holiday Program July Schedule for details. Only

pre-registered children can be accepted to the program.

We cannot accept enrolments on the day due to staffing

level compliance.

Where To Go UWA Recreation and Fitness Centre, Car Park 1,

35 Stirling Highway, Crawley. Visitors paid parking is available in

front of the Centre.

What To Bring Non-marking sandshoes, a hat, a water bottle,

morning tea and lunch (and afternoon tea if staying until 5pm).

Children are not permitted to purchase food or drinks without a

parent or guardian present.

For more information, please refer to the latest activity schedule and

parents handbook at www.sport.uwa.edu.au

Want to claim your Child Care Rebate?

We’ve got you covered.

UWA Kids Sports Holiday Programs is a registered child care

provider, therefore your child/children may be eligible for the

Child Care Rebate. Receipts are given as requested and posted

in the fortnight after the program. Please specify on the enrolment

form.

UWA Kids Sports Holiday Program

UWA SPORT & RECREATION ASSOCIATION

UWA Sport and Recreation AssociationThe University of Western AustraliaM412, 35 Stirling HighwayCrawley WA 6009Tel: +61 8 6488 2286Fax: +61 8 6488 4725Email: kids@sport.uwa.edu.auwww.sport.uwa.edu.au

WINTER PROGRAM 6-17 JULY 2015

Please tick your preferred date(s) and finish time(s) in the boxes below. To enrol for a full week, tick the first column only. All days start at 8am.

1.Parent/Carer DetailsName

Phone

Address

Suburb Postcode

Registered Child Care Receipt

Email

2.Emergency Details

Yes No

3.Child DetailsFirst Name

D.O.B M F

4.Payment Details

- 1pm

Total Cost

Signature Date

$

I agree that information I have provided on this form is true and correct including the date of birth of my child(ren). I agree not to hold the UWA Sport & Recreation Association (UWA Sports) and/or employees liable for any personal injuries or accidents arising from my child’s/children’s participation in any UWA Sports activity unless the organisation is deemed negligent.

I also confirm that they are physically and mentally capable to undertake activities in the program. I also understand that my child(ren) may be photographed for use in future UWA Kids Sports promotions. I also agree to allow my child(ren) to watch G or PG rated movies during the program.

By signing this declaration I also agree to allow my child/children to attend incursions to various Schools and Faculties within The University of Western Australia.

All parents are required to provide proof of age of their child/ren at time of registration.

Costs

- 1pm

- 5pm

$45

$60

Daily

YOU MUST BE THE PARENT OR PRIMARY CARER OF THE CHILD TO COMPLETE THIS FORM.

CCVCard Type VISAMasterCard

Card No.

Expiry

Salary packaging options are available for UWA staff. For other payment options please visit the UWA Recreation & Fitness Centre. Please do not fill out credit card details if submitting this form via email. Enrolments will not be complete until paid in full.

Name

Phone

First Name

First Name

Medical Conditions

- 5pm

Week Mon Tue Wed Thu Fri8am -Mon 6 July -Fri 10 July

D.O.B M F

D.O.B M F

Week 1

5.Signature

- 1pm

- 5pm

Week Mon Tue Wed Thu Fri8am -Mon 13 July-Fri 17 July

Week 2

$202.50

$270

WeeklySEND YOUR KIDS TO UNI THESE SCHOOL HOLIDAYS