ENROLMENT Drama Scene Holiday Camp – Drama Scene Vacation Care Enrolment must be sent before attendance at a Drama Scene Holiday Camp – Drama Scene Vacation Care. THIS ENROLMENT PAGE IS YOUR TAX INVOICE/RECEIPT.Please save a copy for your records, before you click on send at the end. Click this link for more information on our Drama Scene Holiday Camps – Vacation Care. TAX INVOICE / TAX RECEIPT DRAMA SCENE ABN 82 740 115 915 ENROLMENT: Drama Scene Holiday Camp - Drama Scene Vacation Care Child's First Name Child's Surname / Family Name Gender I.D. MaleFemaleIndeterminate Date Of Birth Age School School Year Name of Parent(s) / Carer(s ) Home Contact Street Address Suburb Postcode Contact Address, 2nd home street address (if applicable) Suburb Postcode Telephone Numbers Please include all names and telephone numbers for Adults who may collect this child and Adults who are contacts In Case of Emergency. Email (first email required) We send confirmation and workshop updates by email, please include one or two addresses emails should be sent to. Personal Notification Please choose from this Drop Down List ---ADDADHDAnxietyASDAsthmaBandaid / Latex AllergyCoeliacNut AllergyOther AllergiesOther ConditionOCDOther DisorderOther Health AlertOther SyndromeSpecial Needs In the text box below, please add information to help us teach this child well. Please Email a copy of this child's Action Plan & please add information in the text box below. Drama Scene needs an Action Plan for this child. Please email an up to date Action Plan to firstname.lastname@example.org Is this child able to sit on the floor? YesNoI will provide more information Select Workshop & Fees LOCATION Please choose from this Drop Down List ---MANLY VALE: St Kieran's Parish Hall SELECT SESSION Drama Scene Holiday Camp - Drama Scene Vacation Care: Kindergarten up to Year 7 SELECT TIMES & FEES 3 Time slots 1. BEFORE CARE: Arrive between 8.00am - 9.00am 2. WORKSHOP: Arrive 9.00am - Pickup 4.00pm 3. AFTER CARE: Pickup between 4.00pm - 6.00pm Please select all that apply BEFORE CARE: $10.00 (Inc. $.91 GST)WORKSHOP: $75.00 (Inc. $6.82 GST)AFTER CARE: $15.00 (Inc. $1.36 GST) PAYMENT METHOD Please select method - you will enter details further down enrolment - Redeeming NSW Creative Kids Voucher (no other payment due)Making a bank transferSubmitting Visa / MasterCard (plus $3.00 Inc. GST Card fee - average cost of acceptance)Redeeming a Drama Scene Credit (partial or no fee balance due) CHOOSE DEPARTURE PROCEDURE Please choose from this Drop Down List How is this child to be dismissed when Drama Scene ends? ---Departing with family memberDeparting with friendDeparting with nanny / babysitterUnaccompanied by an appropriate adult We need to know who this child can go home with, please type family member's name, relationship and phone number in the text box below. We need to know who this child can go home with, please type the name and phone number of this Adult Carer in the text box below. We need to know who this child can go home with, please type the name and phone number of this Adult Carer in the text box below. Creative Kids Voucher Details Drama Scene is an Approved Provider for NSW Creative Kids - To redeem a $100.00 (Inc. $9.09 GST) Voucher, please enter the following: 1. NSW Creative Kids Voucher number - MUST START with a 9 2. Voucher expiry date 3. Child's full name on Voucher 4. Child's date of birth dd/mm/yyyy 5. In this calendar year, have you previously redeemed a Creative Kids Voucher for this child - Yes / No? Please note: When Voucher cannot be verified / reimbursed - full fee payment will be due. Payment Information Enter the amount you have paid today If you have a Drama Scene CREDIT or a PROMO Code please enter it here Fee payment options: Bank Transfer or Credit Card Bank Transfer: ENTER Transaction Date & the description / reference you used. (For the description / reference, please use this child's name so we recognise your payment.) Drama Scene BSB 032-123 ACN 254 429 VISA / MASTERCARD: Includes $3.00 FEE (Average Cost Of Acceptance) - ENTER 16 digit Card Number 4 digit Expiry 3 digit CVV Number (This is secure SSL padlocked page https) OR - TEXT/SMS a photo of the front of your Visa / MasterCard to Drama Scene on 0407 235 914. (In your message, please include - 3 digit CVV - child's name - date you are submitting this Enrolment.) Please let us know how you heard about this holiday program - check all that apply EmailSchool NewsletterFacebookFriendThis child has attended a previous holiday programThis child is a current Drama Scene student If you would be interested in Professional Acting Castings for this child, please fill in this box. What Heritage can this child identify as? What languages / accents are natural for this child? Additional Comments BEFORE YOU SEND - IF YOU NEED A TAX INVOICE / RECEIPT - PLEASE SAVE A COPY OR PRINT THIS ENROLMENT FORM. Please advise the Drama Scene Office in writing for recorded images or performance review of this child's participation in a Drama Scene Session NOT to be included online and/or as part of our future promotional material.