Coonabarabran After School and Vacation Care -Request for Enrolment 2022

Please submit by Sunday 31 October 2021, to support planning for next year.

This survey collects information for Warrumbungle Shire Council-Children's Services, being your intention to enrol your school aged child/ward (5-12years) in the Coonabarabran After School Care and Vacation Care (OOSH) program. The information will be used to establish expected demand for the service and planning for next year.

If you require immediate care, or have any questions please contact the service directly on 6849 2221 or 6849 2184 or email OOSH.Coonabarabran@warrumbungle.nsw.gov.au Further information can also be found at https://www.warrumbungle.nsw.gov.au/community-recreation/oosh-after-school-care

Once completed, please select the DONE button to submit your request.

Question Title

* 1. Parent/Carer contact

Name *

Address *

Address 2

City/Town *

ZIP/Postal Code *

Email Address *

Phone Number *

Question Title

* 2. How many children would you like to enrol with our service?
(scroll to complete information for each child, under Child 1, Child 2 Child 3)

Question Title

* 3. Which school does your child/ren attend, for collection by our After School service ?

Coonabarabran Public School

St Lawrence's Catholic Primary School

Other

Question Title

* 4. CHILD 1

Name

Date of birth

Question Title

* 5. Child 1 - What days do you require After School Care ?
Operates 3pm to 5:30pm, during school terms.

Monday

Tuesday

Wednesday

Thursday

Friday

Nil - Vacation Care only, see next question.

Question Title

* 6. Child 1 - For which school holidays do you require Vacation Care ?
Operates 8:30am to 5:30pm subject to demand.

Summer (between 4-27 January 2022)

Autumn (11 April to 22 April 2022)

Winter (4-15 July 2022)

Spring (26 September to 7 October 2022)

Summer 2022-23 (21 Dec to 26January 2023)

Vacation care not required, After School Care only.

Question Title

* 7. CHILD 2

Name

Date of birth

Number of days to be enrolled

Question Title

* 8. Child 2 - What days do you require After School Care ?
Operates 3pm to 5:30pm, during school terms.

Monday

Tuesday

Wednesday

Thursday

Friday

Nil - Vacation Care only, see next question.

Question Title

* 9. Child 2 - For which school holidays do you require Vacation Care ?
Operates 8:30am to 5:30pm subject to demand.

Summer (between 4-27 January 2022)

Autumn (11 April to 22 April 2022)

Winter (4-15 July 2022)

Spring (26 September to 7 October 2022)

Summer 2022-23 (21 Dec to 26January 2023)

Vacation care not required, After School Care only.

Question Title

* 10. CHILD 3

Name

Date of birth

Number of days to be enrolled

Question Title

* 11. Child 3 - What days do you require After School Care ?
Operates 3pm to 5:30pm, during school terms.

Monday

Tuesday

Wednesday

Thursday

Friday

Nil - Vacation Care only, see next question.

Question Title

* 12. Child 3 - For which school holidays do you require Vacation Care ?
Operates 8:30am to 5:30pm subject to demand.

Summer (between 4 - 27 January 2022)

Autumn (11 to 22 April 2022)

Winter (4 to 15 July 2022)

Spring (26 September to 7 October 2022)

Summer 2022-23 (21 Dec to 26January 2023)

Vacation care not required, After School Care only.

Question Title

* 13. Would you like to provide any additional information regarding the above children's enrolment request? eg: special needs, NDIS, type of care, transport concerns, working days etc..

Question Title

* 14. Do you have any other comments, questions, or concerns?

Question Title

* 15. Would you like information on Yuluwirri Kids Coonabarabran Preschool and Long Day Care?
For children ages 2 months - 5 years

Yes

Question Title

* 16. Would you like information on Connect Five Children's Services?
Mobile play sessions operating during school terms for children aged 0-3 years of age. Servicing Baradine, Binnaway, Coolah, Coonabarabran, Dunedoo, Hollywood, Gulargambone, Mendooran and Tooraweenah.

Yes

Coonabarabran After School and Vacation Care -Request for Enrolment 2022

Please submit by Sunday 31 October 2021, to support planning for next year.

Question Title

* 1. Parent/Carer contact

Question Title

* 2. How many children would you like to enrol with our service? (scroll to complete information for each child, under Child 1, Child 2 Child 3)

Question Title

* 3. Which school does your child/ren attend, for collection by our After School service ?

Question Title

* 4. CHILD 1

Question Title

* 5. Child 1 - What days do you require After School Care ? Operates 3pm to 5:30pm, during school terms.

Question Title

* 6. Child 1 - For which school holidays do you require Vacation Care ? Operates 8:30am to 5:30pm subject to demand.

Question Title

* 7. CHILD 2

Question Title

* 8. Child 2 - What days do you require After School Care ? Operates 3pm to 5:30pm, during school terms.

Question Title

* 9. Child 2 - For which school holidays do you require Vacation Care ? Operates 8:30am to 5:30pm subject to demand.

Question Title

* 10. CHILD 3

Question Title

* 11. Child 3 - What days do you require After School Care ? Operates 3pm to 5:30pm, during school terms.

Question Title

* 12. Child 3 - For which school holidays do you require Vacation Care ? Operates 8:30am to 5:30pm subject to demand.

Question Title

* 13. Would you like to provide any additional information regarding the above children's enrolment request? eg: special needs, NDIS, type of care, transport concerns, working days etc..

Question Title

* 14. Do you have any other comments, questions, or concerns?

Question Title

* 15. Would you like information on Yuluwirri Kids Coonabarabran Preschool and Long Day Care?For children ages 2 months - 5 years

Question Title

* 16. Would you like information on Connect Five Children's Services?Mobile play sessions operating during school terms for children aged 0-3 years of age. Servicing Baradine, Binnaway, Coolah, Coonabarabran, Dunedoo, Hollywood, Gulargambone, Mendooran and Tooraweenah.

* 2. How many children would you like to enrol with our service?
(scroll to complete information for each child, under Child 1, Child 2 Child 3)

* 5. Child 1 - What days do you require After School Care ?
Operates 3pm to 5:30pm, during school terms.

* 6. Child 1 - For which school holidays do you require Vacation Care ?
Operates 8:30am to 5:30pm subject to demand.

* 8. Child 2 - What days do you require After School Care ?
Operates 3pm to 5:30pm, during school terms.

* 9. Child 2 - For which school holidays do you require Vacation Care ?
Operates 8:30am to 5:30pm subject to demand.

* 11. Child 3 - What days do you require After School Care ?
Operates 3pm to 5:30pm, during school terms.

* 12. Child 3 - For which school holidays do you require Vacation Care ?
Operates 8:30am to 5:30pm subject to demand.

* 15. Would you like information on Yuluwirri Kids Coonabarabran Preschool and Long Day Care?
For children ages 2 months - 5 years

* 16. Would you like information on Connect Five Children's Services?
Mobile play sessions operating during school terms for children aged 0-3 years of age. Servicing Baradine, Binnaway, Coolah, Coonabarabran, Dunedoo, Hollywood, Gulargambone, Mendooran and Tooraweenah.