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Holiday Program Enrolment

The Greek Community Language Schools Holiday Program Enrolment Form

Children 4-11 years old, regardless of skill-level in the Greek Language, are welcome to our Holiday Program!

THE PROGRAM INCLUDES:

  • Arts and Crafts
  • Traditional Greek dancing
  • Greek singing (karaoke)
  • Cooking
  • Creative reading
  • Traditional Greek games
  • Hands-on activities
  • Music-Kinetic activities
  • And more!

The program will run over two weeks, two days per week, between the hours of 10am–2pm at a price of $35 per day.

There is also a Pre/After Program Care feature between 8:30–10am and 2pm–3:30pm at an additional cost of $20 per day. (your child may attend before, after or both as long as the Pre/After checkbox is checked for that date).

NOTE: We only accept children in the Pre/After Care that will also attend the main Holiday Program for that day.

We would love to welcome you and your children to the Holiday Program of the Greek Community Language and Culture Schools!

Alphington Campus: Alphington Grammar, Old Heidelberg Road, Alphington (click for map)

1. Campus / Days / Features
Alphington Campus :*

Invalid Input

Amount:
Please select relevant dates first

2. Student Details
First Name:*
Please enter the student's first name.

Last Name:*
Please enter the student's last name.

Όνομα (Ελληνικά):
Please enter your last name.

Επώνυμο (Ελληνικά):
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Sex:
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Date of Birth:*
Invalid Date of Birth

School Year Level :*
Please select the year level.

4. Student Medical Details
Allergies:*
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Allergies Details:
Invalid Input

Anaphylaxis:*
Invalid Input

Does the student have Anaphylaxis requiring an Auto-Injector?
If yes you need to provide us with THREE COLOURED copies of the Action Plan For Anaphylaxis.

Asthma:*
Invalid Input

Does the student have Asthma?
If yes you need to provide us with a copy of the Asthma Action Plan.

Special Requirements / Needs / Illness / Disability:*
Invalid Input

Does the student have any needs that require special attention from the staff / teachers?

Special Requirements / Needs / Illness / Disability Details:
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(please provide details)

Doctor's Name:
Please enter the name of your emergency contact.

Doctor's Address:
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Doctor's Phone:
Please enter the contact number of your emergency contact.

5. Home/Family Details
Street Address:*
Please enter your address.

Home Suburb:
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Home PostCode:*
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Home Phone:
Please enter your phone number.

6. Parent / Guardian #1
Name:*
Please enter the name of the Parent/Guardian.

Mobile Phone:*
Please enter the Parent/Guardian's personal telephone number.

Email: *
Invalid Input

Parent/Guardian Relationship:*
Please provide the nature of the relationship.

Work Phone:
Please enter the contact number of your emergency contact.

7. Parent / Guardian #2
Name:
Please enter the name of your emergency contact.

Mobile Phone:
Please enter the contact number of your emergency contact.

Email:
Invalid Input

Parent/Guardian Relationship:
Please provide your contact number.

Work Phone:
Please enter the contact number of your emergency contact.

8. Emergency Contact (in case guardians are not available)
Name:*
Please enter the name of the emergency contact for this student.

Phone Number:*
Please enter the contact number of the emergency contact for this student.

Relationship:*
Please enter how the emergency contact and the student are related.

9. Legal Restrictions
Legal Restrictions:*
Invalid Input

Are there any legal restrictions such as court orders in relation to the student or parents?
If yes you need to provide us with a copy of the Court's Orders.

Legal Restrictions Details:
Invalid Input

10. Photo Permission
Photo Permission:*
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  1. I consent to and provide permission for the photographic, video or audio recording of my child / student, to be used by authorized personnel in various communications and media (e.g. School Newsletter, Website, Displays and Folders of the Greek Afternoon Schools, etc).
  2. I understand that my child / student will not be personally identified in any use of the material.
  3. I authorize the use or reproduction of any recording referred to above without acknowledgment and without being entitled to remuneration or compensation.
11. Payment Details
Total Amount $
Please enter a number.

Name on Card:*
Please confirm your Credit Card Details.

Cardholder Address:*
Please confirm your Credit Card Details.

Card Number:*
Please confirm your Credit Card Details.

Visa or MasterCard

Card Expiry (mm/yy):*
Please confirm your Credit Card Details.

Card CVC:*
Please confirm your Credit Card Details.

12. Submission
Your name (person filling the form):*
Please enter your full name.

How did you hear about us:
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Human Verificiation:

Please submit the form once for each child.

All information provided is strictly confidential and will only be accessed by the GOCMV and Teaching Staff members.

PRIVACY NOTICE CONFIRMATION: By filling-in this form, paying the fees and sending your child/children to this program you agree to abide by the school's rules, and you authorize the staff at GOCMV (where we are unable to contact one of the Guardian or Emergency Contacts you provided) to seek and/or administer emergency medical treatment as is reasonably necessary and to reimburse relevant expenses

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