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Grey Street Primary School January 2019 Vacation Care Program [Booking Request Only]

Parent/Guardian Information

Account Holder
Email
Phone
Mobile

Child/ren's Full Name/s

1
2
3
4
Day Date Activity Day Cost
Child 1
Child 2
Child 3
Child 4
Mon 07-Jan-2019 Wheels Day 65.00
Tue 08-Jan-2019 Join The Movie Fun (Excursion)
You have read the risk assessment pertaining to this excursion and accept all the information provided on the risk assessment and accept your child or children being part of this excursion day.
92.00
Wed 09-Jan-2019 Take Flight 65.00
Thu 10-Jan-2019 Get Your Skates On (Excusion)
You have read the risk assessment pertaining to this excursion and accept all the information provided on the risk assessment and accept your child or children being part of this excursion day.
92.00
Fri 11-Jan-2019 Cooking Factory (Lunch Provided) 68.00
Mon 14-Jan-2019 Let's Roar At Melbourne Zoo (Excursion)
You have read the risk assessment pertaining to this excursion and accept all the information provided on the risk assessment and accept your child or children being part of this excursion day.
92.00
Tue 15-Jan-2019 All Stars Summer 65.00
Wed 16-Jan-2019 Edible Art 65.00
Thu 17-Jan-2019 Music Production (Incursion) 82.00
Fri 18-Jan-2019 Splashtastic Pool Fun (Excursion)
You have read the risk assessment pertaining to this excursion and accept all the information provided on the risk assessment and accept your child or children being part of this excursion day.
92.00
Mon 21-Jan-2019 Crazy Circus Time 65.00
Tue 22-Jan-2019 Splash Fun At Gumbuya World (Excursion)
You have read the risk assessment pertaining to this excursion and accept all the information provided on the risk assessment and accept your child or children being part of this excursion day.
92.00
Wed 23-Jan-2019 Mess Mania 65.00
Thu 24-Jan-2019 Big Science Big Fun (Excursion)
You have read the risk assessment pertaining to this excursion and accept all the information provided on the risk assessment and accept your child or children being part of this excursion day.
92.00
Fri 25-Jan-2019 Everyone's Birthday (Lunch Provided) 68.00
Estimated TOTAL (before eligible CCS adjustment):
0.00
0.00
0.00
0.00

Additional Information Required to Proceed:

How would you like to pay?

Direct Debit from my nominated bank/credit card account (only available until 14-Dec-2018 4:00pm)
Credit Card via Secure Online Form
Invoice to Approved Respite Agency (only available until 14-Dec-2018 4:00pm)
Grandparent Child Care Subsidy
Card Type:
Credit Card Number:
CVV Security Number:This is a 3 digit number usually near the signature panel.
Expiration Date:

Please ensure all Credit Card details (number/ expiration date/ CVV) are correct. As declination fee, will apply if entered incorrectly or not entered or part entered.

Name of Respite Agency:
Name of Caseworker:
Phone Number of Respite Agency:
Email address of Caseworker:
Name of NDIS Caseworker:
Phone Number of NDIS Caseworker:
Email address of NDIS Caseworker:

I have read, accept and agree to the Company Terms & Conditions.

Disclaimer: I understand and acknowledge once I have submitted the online Vacation Care Booking Request it is a confirmation of my child/ren’s individual booking day/s and will be processed with the days selected. I understand and accept that After The Bell Aus will use my nominated payment method for the total Vacation Care costs and any past debt amounts once the Vacation Care request booking form has been processed and until my account is at a zero balance. It is my responsibility to contact After The Bell Aus Head Office if I have not received a statement after submitting the Vacation Care Booking Request and/or if booked days do not reflect my online Vacation Care booking request. I accept any applicable dishonour/ declination fee associated with this booking request as a result of insufficient funds or incorrect banking details provided or not providing updated banking details. I understand that submitting this booking request form from a non-PC device is at my own risk.

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Head Office
1220 Burwood Highway
UPPER FERNTREE GULLY VIC 3156
Postal Address
PO Box 7082
UPPER FERNTREE GULLY VIC 3156
Contact Us
03 9758 6744
Email us here