School Holiday Booking Form

Monday 21st September - Friday 2nd October

Please note your booking is not confirmed until you have received a confirmation email from us. Bookings are subject to availability. Risk Assessments are in place and available on request for all excursions and incursions.

Parent/Guardian (Person Completing this Form) *

Contact Number *

Email Address *

Participant Details

Participant First Name *

Participant Last Name *

Is the participant already a client with Atypical Solutions? *

YesNoUnsure

Does the participant require transport to and from programs? *

YesNo

Standard School Holiday Bookings are 10am-4pm Daily

Transport is available upon request

Times can be modified depending on requirements between 9am and 6pm - Please let us know what works best for you

WEEK 1

Week #1 - Which days would you like to book?

Monday 21st SeptemberTuesday 22nd SeptemberWednesday 23rd SeptemberThursday 24th September

Any Notes Regarding Week 1 :

WEEK 2

Any Notes Regarding Week 2 :

Emergency Contact During Program (if non-parent/guardian)

Name

Number

Medical

Allergies/Medical Conditions *

Medication to be administered *

Other Requirements

Other Special Requirements(e.g. require own sunscreen/insect repellent)

Parent/Guardian Declaration

I will complete an intake form and service agreement prior to participants arrival
I provide my permission for their participation and travel to and from excursions/incursions.
I am aware that I need to pay for all holiday care bookings, regardless of whether my child attends on these days or not - if cancelled within a 48 hour window. Should the service need to close, all bookings will be waived.
I am aware that I need to provide the participant snacks and luch daily.
I am aware that I need to provide the participant with; sun safe clothing; hat; drink bottle and closed in shoes.

I acknowledge and agree to the above information *

Signature

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