Our holiday club is open to tweens over 13, complete the following form to enrol your Tween and we’ll be in contact shortly to confirm your enrolment and booking. Don’t forget to send us an email if you have any questions.

How many tweens are you enrolling?*
Tween 1 Name*
Tween 1 Date of Birth:*
 / 
 / 
Tween 1 School:
Tween 1 Mobile Number:
Tween 2 Name:*
Tween 2 Date Of Birth:*
 / 
 / 
Tween 2 School:
Tween 2 Mobile number:
Tween 3 Name:*
Tween 3 Date Of Birth: *
 / 
 / 
Tween 3 School:
Tween 3 Mobile number:

Health and Wellbeing information

Any pre-existing medical conditions (Asthma, diabetes etc)?*
Any allergies?*
Any cultural or dietary restrictions?*
Diagnosed at risk of anaphylaxis?*
Any food intolerances?*
If you answered yes to any of the above please provide further details:
Upload relevant action plans

Additional Needs

Does your tween(s) have any additional needs that we need to be aware of?*
Please provide further details:

Medical Information

Medicare number:
Ambulance Number (if applicable):
Private Health insurance name and number:

Court Orders

Are there any court orders, parenting orders or parenting plans relating to the powers and responsibilities of the parent/guardian in relation to the tween or access to the tween?*
Are there any court orders relating to the child’s residence or the tween’s contacts with parents or other persons?*
Please upload a copy of the most up to date court order

Parent/Guardian Contact Information

Please provide the contact information of at least 3 people who can be contacted in the case of an emergency (including parent/guardian). If you have only listed one parent/guardian please provide us with the details of 2 further people we can contact who are authorised to collect your tween/s from the program and be contacted in the case of an emergency (medical or other). By including that persons details here you agree that Tween F.O.M.O is allowed to contact them in regard to your tween if we cannot get in contact with parents.

Parent/Guardian 1

This person will also be considered the account holder.

Name:*
Relationship to Tween:
Mobile Number:*
Alternate Number (contactable during program hours:*
Address:*
E-mail address*
Does the tween live with this person?*

Parent/Guardian 2

Name:
Relationship to Tween:
Mobile Number:
Alternate Number (contactable during program hours:
Address:
E-mail address:
Does the tween live with this person?

Emergency Contact 1

Name: *
Relationship to Tween: *
Mobile Number: *
Alternate Number (contactable during program hours: *

Emergency Contact 2

Name:
Relationship to Tween:
Mobile Number:
Alternate Number (contactable during program hours: *

Enrolment Agreement

Please read the following terms and conditions carefully and click "I agree". Your enrolment will not be accepted unless you agree to these terms and conditions.

  • I have read the Tween F.O.M.O policy document and agree to abide by the policies stated.
  • I understand that only once my enrolment is confirmed and my booking dates have been paid for is my enrolment complete and once this has been done there is no refund possible.
  • I understand that if I allow my tween to leave the program unaccompanied the program accepts no responsibility of the child once they have been signed out and left the premises.
  • I consent to my child participating in the Tween F.O.M.O Holiday club program. I acknowledge that my tween will be exposed to certain risks when participating in the Program including but not limited to physical injury, death or property damage. I acknowledge that participation in the program is entirely at my child’s own risk. I have voluntarily read and understood this risk warning and accept and assume the inherent risks in my child’s participation in the Tween F.O.M.O holiday club program.
  • I agree to carry and accept all risks associated with any transportation of my child. To the fullest extent permitted by law, I release and agree to indemnify, defend and hold harmless Tween F.O.M.O and its directors, employees, officers, volunteers, servants and agents from and against any injury, loss, damage actions, proceedings, claims, demands, expenses (including legal expenses), damages and liabilities howsoever arising from or incurred as a result of or in connection with any transportation.
  • I understand that if for any reason my tween is absent from a booked day at the program fees still apply.
  • I agree to exclude my tween from the program when they are unwell, especially if the illness is contagious.
  • I understand that if I am late to pick up my tween from the program a late fee will be applied.
  • In consideration of my child participating in the Tween F.O.M.O Holiday Club Program, to the fullest extent permitted by law, I release and agree to, indemnify, defend and hold harmless Tween F.O.M.O and its directors, employees, officers, volunteers, servants and agents from and against any injury, loss, damage actions, proceedings, claims, demands, expenses (including legal expenses), damages and liabilities howsoever arising from or incurred as a result of or in connection with my child’s participation in the Tween F.O.M.O Holiday Club Program.
  • I give permissions for the leaders of the program to seek emergency medical, hospital or ambulance/transport and that I, the Tweens Guardian will be contacted and agree to pay all costs involved.
Do you agree to the above terms and conditions?*
I/we declare as the person(s) with lawful authority of the tween(s) listed above that the information provided is true and correct and will immediately inform Tween F.O.M.O in the event of any changes.*

Optional agreements

I agree to allow Tween F.O.M.O to use photos of the abovementioned tween/s for future advertising including but not limited to newsletter, newspapers, websites, flyers. All photos will be carefully chosen and used if deemed appropriate. I understand that there will be no payment no matter how often these images are used by Tween F.O.M.O.*
At the conclusion of each excursion do you give consent for your tween to sign themselves out and make their own way home (if yes please provide details of how your tween will be getting home)*
Please provide details of how your tween/s will be making their way home:*
Please use this box to add any other information you think is vital to your enrolment
Please enter the numbers/letters you see in the box

 

 

If you would prefer not to complete the above form you can download and complete the form and email it back to us.

Enrolment Form

September Booking Form