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Catholic Early Learning and Care Enrolment Form

4256 0225 | accounts@ccelc.catholic.org.au


Child's Details Education and Care Services National Regulations - Regulation 160 (3a, e)

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Vacation Care

Primary Parent/Carer Education and Care Services National Regulations - Regulation 160 (3b)


(Primary Parent must also be the registered CRN number holder)

Secondary Parent/Carer Education and Care Services National Regulations - Regulation 160 (3b)


Cultural Consideration Education and Care Services National Regulations - Regulation 160 (f, g, h)

Medical Information Education and Care Services National Regulations - Regulation 160 (3a, I, j)

If yes, please provide a medical management plan, which the child's medical practitioner has prepared. The Plan should include:
  • A photo of the child
  • If relevant, state what triggers the medical condition, allergy or anaphylaxis
  • First aid needed
  • Contact details of the doctor who signed the plan
  • When the Plan should be reviewed
Note: This can be uploaded at the end of this form.
Medication I/we understand that the service is unable to administer medication unless it is in its original container with the dispensing label attached listing the child as the prescribed person, and the dosage to be given. This includes prescribed (e.g. antibiotics) and non-prescribed medication (e.g. paracetamol/Nappy Creams).
Prescribed medication, including asthma and anaphylaxis medication, will only be administered when it is accompanied by written instructions from the child’s medical practitioner, is in the original container and the service medication form is completed.
Any medication, including non-prescription medication like nappy creams and paracetamol, must be authorised by parents or an authorised nominee on our service medication form. I/we agree to complete the service medication form detailing the dose, time and date of last dose of any medication given to my/our child so as to reduce the risk of overdosing.
Education and Care Services National Regulations Regulation 95
Please be advised that if the Child is diagnosed with asthma or anaphylaxis and an emergency occurs, the Nominated Supervisor or other educators may administer emergency first aid without making contact. Educators will notify the child’s parents and/or emergency services as soon as possible*.
Education and Care Services National Regulations Regulation 93

Immunisation Details


Please note: Approved documentation must be provided before your child can attend. See Immunisation Policy
Note: This can be uploaded at the end of this form.

Note: This can be uploaded at the end of this form.

Parent Initials

Parent Initials

Developmental Information

Is your child undertaking or have undergone assessment to support any particular developmental areas such as speech therapy, occupational therapy, Autism spectrum disorder? Please attach supporting documents Please provide us with any other information we should know about your child

(For example, additional learning and support needs, information about the child’s wellbeing, physical comfort or personal needs, favourite activities, fears, special words (please translate if applicable), toileting and sleeping practices etc.)

Family Information

Child's Routine

Court Order Education and Care Services National Regulations - Regulation 160 (3c, d)

If yes, please provide all relevant documentation and paperwork
If yes, please provide all relevant documentation and paperwork

Please note that without this documentation we cannot legally enforce the Order/s.

First Emergency Contact Education and Care Services National Regulations - Regulation 160 (3b, ii, iii, iv, v) 161 (1a, I, ii, 1b)

There may be times or situations where your child has had an accident, injury, trauma or illness and Parent/s cannot be reached or are unable to collect their child. To deal with these circumstances and in case of an emergency the Service will inform the following person to collect and care for the child. This person must live a maximum of 30 minutes from the Service and must provide identification when collecting the child.

Please obtain the person's consent before listing them as an emergency contact

Second Emergency Contact Education and Care Services National Regulations - Regulation 160 (3b, ii, iii, iv, v) 161 (1a, I, ii, 1b)

Please obtain the person's consent before listing them as an emergency contact

Enrolment Agreement

PLEASE READ THE FOLLOWING AGREEMENT CAREFULLY BEFORE SIGNING. PLEASE ASK IF THERE IS ANYTHING IN THIS DOCUMENT THAT YOU ARE UNSURE OF

Please tick the following items to authorise:

SUPPORT:
HEALTH & SAFETY:
PHOTOGRAPHY & VIDEO:.

Attached Documents

Please ensure ALL RELEVANT documents are attached to this application before submission. (Only valid file types are allowed - jpg, png, pdf)

Note : The file size should be less than 3MB

How did you hear about us?

Direct Debit Details

Please read the Direct Debit Service Agreement below to acknowledge your obligations before proceeding.

Direct Debit Service Agreement

This is your Direct Debit Service Agreement with Cloud Payments ACN 154 014 785, APCA User ID Number 502574. Cloud Payments have been contracted by OWNA Corp Pty Ltd to collect the Instalments due under this Agreement. It explains what your obligations are when undertaking a Direct Debit arrangement with us. It also details what our obligations are to you as your Direct Debit provider.

Please keep this agreement for future reference. It forms part of the terms and conditions of your Direct Debit Request (DDR) and should be read in conjunction with your DDR authorisation.

Definitions
account means the account held at your financial institution from which we are authorised to arrange for funds to be debited.
agreement means this Direct Debit Request Service Agreement between you and us.
banking day means a day other than a Saturday or a Sunday or a public holiday listed throughout Australia.
debit day means the day that payment by you to us is due.
debit payment means a particular transaction where a debit is made.
direct debit request means the Direct Debit Request between us and you.
us or we means OWNA Corp Pty Ltd, (the Debit User) you have authorised by requesting a Direct Debit Request.
you means the customer who has signed or authorised by other means the Direct Debit Request.
your financial institution means the financial institution nominated by you on the DDR at which the account is maintained.

Debiting your account
1. By signing a Direct Debit Request or by providing us with a valid instruction, you have authorised us to arrange for funds to be debited from your account. You should refer to the Direct Debit Request and this agreement for the terms of the arrangement between us and you.
2. We will only arrange for funds to be debited from your account as authorised in the Direct Debit Request.
or
We will only arrange for funds to be debited from your account if we have sent to the address nominated by you in the Direct Debit Request, a billing advice which specifies the amount payable by you to us and when it is due.
3. If the debit day falls on a day that is not a banking day, we may direct your financial institution to debit your account on the following banking day. If you are unsure about which day your account has or will be debited you should ask your financial institution.

Amendments by us
We may vary any details of this agreement or a Direct Debit Request at any time by giving you at least fourteen (14) days written notice.

Amendments by you
You may change, stop or defer a debit payment, or terminate this agreement by providing us with at least 14 days notification by emailing support@owna.com.au or arranging it through your own financial institution, which is required to act promptly on your instructions.

Your obligations
1. It is your responsibility to ensure that there are sufficient clear funds available in your account to allow a debit payment to be made in accordance with the Direct Debit Request.
2. If there are insufficient clear funds in your account to meet a debit payment:
a. you may be charged a fee and/or interest by your financial institution;
b. you may also incur fees or charges imposed or incurred by us; and
c. you must arrange for the debit payment to be made by another method or arrange for sufficient clear funds to be in your account by an agreed time so that we can process the debit payment.
3. You should check your account statement to verify that the amounts debited from your account are correct

Dispute
1. If you believe that there has been an error in debiting your account, you should notify us directly on support@owna.com.au & (02) 8860 9563 as soon as possible so that we can resolve your query more quickly. Alternatively you can take it up directly with your financial institution.
2. If we conclude as a result of our investigations that your account has been incorrectly debited we will respond to your query by arranging for your financial institution to adjust your account (including interest and charges) accordingly. We will also notify you in writing of the amount by which your account has been adjusted.
3. If we conclude as a result of our investigations that your account has not been incorrectly debited we will respond to your query by providing you with reasons and any evidence for this finding in writing.

Accounts
You should check:
a. with your financial institution whether direct debiting is available from your account as direct debiting is not available on all accounts offered by financial institutions.
b. (your account details which you have provided to us are correct by checking them against a recent account statement; and
c. (with your financial institution before completing the Direct Debit Request if you have any queries about how to complete the Direct Debit Request.

Confidentiality
1. We will keep any information (including your account details) in your Direct Debit Request confidential. We will make reasonable efforts to keep any such information that we have about you secure and to ensure that any of our employees or agents who have access to information about you do not make any unauthorised use, modification, reproduction or disclosure of that information.
2. We will only disclose information that we have about you:
a. to the extent specifically required by law; or
b. for the purposes of this agreement (including disclosing information in connection with any query or claim).

Notice
1. If you wish to notify us in writing about anything relating to this agreement, please email support@owna.com.au.
2. We will notify you by sending a notice in the ordinary post to the address you have given us in the Direct Debit Request.
3. Any notice will be deemed to have been received on the third banking day after posting.

Should you have any queries in relation to these terms and conditions contact:

OWNA Corp Pty Ltd.
Suite 2.13 29-31 Lexington Drive
Bella Vista NSW 2159
Phone: (02) 8417 5022
E-mail: support@owna.com.au


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Confirmation & Signature

I agree to the terms and conditions outlined in the Enrolment Document. Download the document here.

Privacy Disclaimer

We acknowledge and respect the privacy of its clients. The enrolment information that is collected assists us to meet our legislative obligations and to provide the best level of education and care for your child. By completing this form, you have consented to this information being collected. The information will be used by educators/staff members and relevant government authorities. You have the right to access and alter personal information concerning yourself or your child in accordance with the Privacy Act 1988 and our Privacy and Confidentiality Policy.