ENROLMENT FORM Children Young People

Refunds are available only up to 7 days prior to the commencement of classes. An administration fee of $20 applies to all refunds unless a Doctor’s certificate is provided, or a course is cancelled by WCLC. No credit is available for missed classes unless a medical certificate can be produced. Any credit will be applied toward the following term’s enrolment. See 7.2.1 Course/Activity Refunds Procedures.

Indigenous Status

Country of Birth

Language

Main language spoken at home *

English Only Other

Please Specify *

Spoken English Level *

Very well Well Not well Not at all

Support

Does your child have any disability, impairment or special needs that may affect their enrolment *

Yes No

If YES, please complete the following (if NO please continue to the next question)

Are reasonable adjustments/support required to assist participation in the class? *

Yes No

If YES, Please advise what the Condition / Disability is and what adjustments or support you would require:

Condition/Disability *

Adjustments/Support *

This will need to be discussed with the Centre Manager. *

Interview booked with Centre Manager Interview with Centre Manager completed

Details of Medical Conditions/Health Issues

This question is not applicable if parent/s or guardian/s are in attendance for the duration of the class or activity go to the next question.
Note: Parents/guardians are required to provide details of any medical condition that may affect their child’s health or wellbeing while attending Waverley Community Learning Centre (WCLC). Should the child/s medical condition change during enrolment, please notify WCLC immediately along with completion of a new Details of Medical Conditions / Health Issues Form.

Medical Conditions

Does your child have any relevant medical conditions or special needs? e.g. asthma *

Yes No

If you answered NO go to the next question, if YES, please specify *

Provide a copy of your child’s management plan.

Anaphylaxis, Allergies or Sensitivities

Does your child have anaphylaxis, allergies or sensitivities? e.g. insect bites, food etc *

Yes No

If you answered NO go to the next question, if YES, please specify *

Provide a copy of your child’s management plan. If no management plan is required provide a reason *

Dietary Restrictions

If you answered YES to any of the above questions. Request a meeting with the Centre Manager and/or your child’s tutor to discuss your child’s needs *

Meeting booked with Centre Manager Meeting with Centre Manager completed

Consent to Medical Treatment

Your authority is needed in the event that a tutor, staff member or office volunteer considers it advisable to obtain medical treatment by a medical practitioner, hospital or ambulance service for your child.
I hereby consent and authorise staff or volunteers of the Waverley Community Learning Centre to seek medical treatment for my child. I agree expenses incurred in obtaining medical treatment including ambulance will be my responsibility.

Authority to drop-off or collect children

Consent for persons with authority to drop-off or collect the child/ren, other than the ‘Emergency Contacts’. I authorise the following person/s to drop-off or collect my child/ren from class.

Drop-off and Collection

The Parent/Guardian nominated emergency contacts or person with authority to drop-off or collect child/ren must sign the child/ren in when dropping off and sign them out when collecting them. This requirement is applicable to children aged up
to 12 years of age. A young person aged 13 to 17 years may travel to and from their class independently with a Parent/Guardian’s written permission.

As parent/guardian, I/we confirm that I/we are aware of and agree to adhere to the Policies of the Waverley Community Learning Centre (WCLC) attached to this enrolment form:

12.1.1 Enrolment Policy for Children and Young People
12.1.2 Illness and Emergency Care
12.1.3 Children or Young Peoples’ Classes Code of Conduct
12.1.4 Children and Young Peoples’ Safety

Additional enrolment information is available on the Noticeboard for example Fees and Refunds and Privacy Statement etc.

I agree to enrol my child on the basis of the information provided by the Organisation. If I am not in attendance for the duration of the class or activity, I/we agree to collect or make arrangements for the collection of my child if he/she becomes unwell while attending WCLC.

Marketing

Would you like to be included on our email update listing? *

Yes No

Photographs

Do you agree/disagree to give permission for photograph/s of my child or young person to be used in publications, promotional or marketing material by WCLC. *

Agree Disagree

Names of children or young people will not be used in any publicity or marketing of WCLC. For exhibitions, work produced will be identified by the Christian name only of the child or young person.

Parent/Guardian to Sign *

Date *

Privacy

In accordance with The Privacy Act, it is the policy of the Waverley Community Learning Centre to maintain the highest level of confidentiality for information provided by it’s participants. Information collected, is either required by law or necessary for the running of the course you are enrolled in. The signing and handing in of this completed enrolment form signifies your approval to use your information for those purposes.

See the Privacy Statement on the noticeboard.