December 2026 - January 2027

GRADES:

Prep - Grade 6 (2026 School Year)

LOCATION:

1 A'Beckett St, East St. Kilda, 3183

HOURS:

Monday to Friday: 9:15 am - 4:00 pm

Before Care: 8:30 am - 9:15 am

COST:

$110 Per Day

The Childcare Subsidy (CCS) will be in effect for this day camp. CCS will be based on a family's combined income, activity test and the service type. Parents need to have a MyGov account which needs to be linked to your centrelink account for all future payments. If you are unsure if you qualify please be in touch with the family assistance office.

For further information regarding government subsidies please contact Naomi or Ellie on 8595 2083 or email [email protected]. Please note: It is the responsibility of the parent to ensure we have the correct information in order to process your benefits.

Payments are processed after the benefits have been calculated.

Please take care when filling out the form that all information is correct. Incorrect information may result in your child not receiving a place in camp.

General Information:

Child's Full Name*

Given Name/s Last Name

Child's Birth Date*

Day Month Year

Child's Gender*

Child's Address*

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Child's School*

Child's Grade (in 2026)*

Days attending:

Please note: Our holiday program runs over three weeks. You don’t need to select every day, but please select a minimum of 3 days per week for each week you wish your child to attend.

Week 1- Please select a minimum of 3 days.

Monday 21/12 - Climb N' Play

Yes

Tuesday 22/12 - Werribee Zoo

Yes

Wednesday 23/12 - Waterwarz and Bricks4Kidz Incursion

Yes

Thursday 24/12 - Luna Park

Yes

Week 2 - Please select a minimum of 3 days.

Monday 11/01 - Hijinx Hotel & Holey Moley

Yes

Tuesday 12/01 - Inflatable Fun Park

Yes

Wednesday 13/01 - Rush HQ

Yes

Thursday 14/01 - Balloon Workshop & Magic Workshop Incursions

Yes

Friday 15/01 - Bowling & Laser Tag

Yes

Week 3 - Please select a minimum of 3 days.

Monday 18/01 - The Big Goose

Yes

Tuesday 19/01 - Inflatable World

Yes

Wednesday 20/01 - Archie Brothers Arcades & Bowling

Yes

Thursday 21/01 - Gumbuya World Theme Park

Yes

Friday 22/01 - Bounce

Yes

PLEASE READ ALL CANCELLATION POLICIES BELOW,

BY SUBMITTING YOUR FORM YOU ARE AGREEING TO THE TERMS & CONDITIONS OF OUR POLICIES

Sparks Holiday Blast Cancellation Policy.

Bookings will need to have at least three days per attending week selected. Priority may be given to those applying for the full week.
Changes to enrolment after 48 hours of receiving a confirmation email will incur a $50 admin fee.
Any changes or cancellations to your booking must be sent via email to [email protected].
No changes to your enrolment after 4th December, 2026. At this point, any cancellations will be charged in full.

I have read and agree to these policies*

Chabad Sparks Holiday Blast T-shirts are required to be worn by all attendees at all times. T-shirts can be purchased for $7 each.

*

I already have a Chabad Sparks T-shirtI would like to purchase a Chabad Sparks T-shirt

How many shirts would you like to purchase?

What size would you like to purchase?

Parent 1 Full Name*

First Name Last Name

Parent 1 Phone Number*

Parent 1 E-mail*

Parent 2 Full Name

First Name Last Name

Parent 2 Phone Number

Parent 2 E-mail

Emergency Contact (other than parents)

Emergency Contact Full Name*

First Name Last Name

Emergency Contact Phone Number*

Emergency Contact Relationship To Child*

Medical Information

Current GP Name*

Medicare: Child's Name on Card*

Medicare: Card Number*

Medicare: Child's number on card*

Medicare Expiry Date (MM/YYYY)*

Private Health Care Fund

Private Health Care Number

Please ensure that all medical conditions, diagnoses, disabilities, developmental differences, behavioural needs and additional support requirements are disclosed accurately and in full.

Please do not write "N/A" unless there is genuinely nothing to disclose.

This information is essential in helping our educators understand your child’s individual needs, provide appropriate support, manage potential risks and ensure your child has a safe, positive and enjoyable experience at our Vacation Care.

Providing complete and honest information allows us to adequately prepare, support your child and ensure their needs are met throughout the program.

Current Medication (If not applicable, write n/a)*

Allergies (If not applicable, write n/a)*

Medical Conditions (If not applicable, write n/a)*

Special Remarks

VACATION CARE AUTHORISATION FORM

Collecting your child from the Chabad Youth OSHC premises

We recommend all children are to be picked up by a Parent or an Authorised Nominee directly from the Chabad Youth OSHC premises. An Authorised Nominee means a person who has been given permission by a parent or family member to collect the child from the education and care service.

If you would like for your child to walk home by themselves, or to a location to be picked up, in accordance with Regulation 99(4)(b), they will need to be signed out by a Chabad Youth OSHC staff member and/or volunteer before exiting the premises.

Please tick all that apply:*

I'll be picking my child up directly from the VAC premises.I give permission for my child to leave the premises by themselves and to be signed out by a Chabad Youth OSHC staff member and/or volunteerI nominate the following people as my Authorised Nominee(s), please include any siblings that may collect your child. (Please list nominees below)

Authorised Nominees:

Authorised Nominee 1 Full Name

First Name Last Name

Authorised Nominee 1 Phone Number

Authorised Nominee 1 Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Authorised Nominee 1 Relationship to Child

Authorised Nominee 2 Full Name

First Name Last Name

Authorised Nominee 2 Phone Number

Authorised Nominee 2 Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Authorised Nominee 2 Relationship to Child

Authorised Nominee 3 Full Name

First Name Last Name

Authorised Nominee 3 Phone Number

Authorised Nominee 3 Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Authorised Nominee 3 Relationship to Child

*

I hereby authorise a Chabad Youth OSHC staff member and/or volunteer to obtain any medical care necessary for my child, including from a medical practitioner, hospital or ambulance service. I understand that transportation to receive medical care may include an ambulance and I agree to pay for any costs involved with seeking medical care for my child. I understand that in the case of an emergency of significant illness or injury attempts will be made to contact myself or an authorised nominee, as soon as practical

I hereby authorise Chabad Youth OSHC staff and/or volunteers to photograph my child and use the photographs for the following purposes:

Yes, Educational PruposesYes, Promotional PurposesYes, Social Media

*

I hereby acknowledge that I have read, understood and agree to the terms outlined in the Family Handbook (copies available on this website)

*

I will provide Chabad Youth OSHC and/or volunteers with documentation regarding any medical conditions for my child and attached the relevant and up to date Medical Management Plans and my child's participation is dependant on this.

*

I understand that if my child has a Medical Management Plan I will be required to complete a Risk Minimisation Form and a Communication Plan in consultation with Chabad Youth staff and/or volunteers.

I give permission for my child to have a band aid administered*

YesNo

I give permission for my child to have sunscreen applied*

YesNo

The approved provider of the program has sighted my child's health record*

YesNo

Authorisation for Excursion Form:

Our service has organised an excursion for your child to attend. All of the relevant details are provided below for your convenience. The service has conducted an Excursion Risk Assessment which is available for your review upon request. For your child to attend, you are required to read this information and complete the Authority for Excursion Form. To complete this Form, you must be listed on the child’s enrolment record as either their parent or an Authorised Nominee.

Child's Full Name*

First Name Last Name

Excursion Information:

Mode of transport for all excursions: Charter bus. All buses are fitted with seat belts.

Educator ratio for all excursions will be at least 1:15.

21 December – Climb N' Play Maidstone (3/98–108 Hampstead Road, Maidstone VIC 3012)

Departure: 11:20am. Return: 3:10pm.
Travel time: Approximately 25–35 minutes each way.
Total time off-site: 3 hours 50 minutes.

Activity: Campers will participate in indoor climbing challenges and multi-level playground activities. These experiences encourage physical development, balance, coordination, confidence, perseverance and problem-solving as children attempt new challenges.