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Holiday
PROGRAMMES
SACRED HEART AQUATIC CENTRE
WINZ SUBSIDIES
AVAILABLE
YMCA provides inclusive recreation,
sport and leisure opportunities
for people with a disability
OCTOBER | 2014
Sacred Heart Aquatic Centre | OCTOBER HOLIDAY PROGRAMME
WEEK 1
5-14 Years
Mon 29th Sept
Tue 30th Sept
Wed 1st Oct
Thur 2nd Oct
Fri 3rd Oct
TUMBLETASTIC
Tumbletastic is all
things gymnastic. A
wicked performance
from the experts and
test out your skills on
the giant trampoline
and high ropes.
PIRATE ESCAPE
Ahoy! We are having
our very own pirate
adventure as we head
over to Devonport by
Ferry and search for
the treasure chest.
PAINT & CREATE
How creative can you
be? Have fun painting
and decorating your
very own ceramic
masterpieces to take
home.
TIP TOP TOUR
I scream you scream
we all scream for ice
cream! Yes join us on
our Ice Cream Factor
tour to Tip Top. It’s
going to be delicious!
GAME ZONE
Enjoy some of your
home favourites while
getting active. Puzzles,
Playstation, Sports
and Flippa Ball, don’t
forget to bring your
favourite board game
& anything you wish
to play.
$33.00
$48.00
$36.00
$46.00
$33.00
Holiday Programme Day time 9am - 3.30pm . Please bring togs and towel as most afternoons we will be going swimming
Week 1
Swim School
Holiday Lessons
Mon 29th Sept
Tue 30th Sept
Wed 1st Oct
Thur 2nd Oct
Fri 3rd Oct
Help fast track your child’s swimming technique with our five day intensive programme. Our programme will focus on the core learn
to swim and development principals; kicking, propulsion, body balance, arm stroke action and breathing exercises to help improve
their skills in a short space of time.
$17 PER DAY or $80 FOR FULL WEEK
See centre or book online at www.ymcaauckland.org.nz
WEEK 2
5-14 Years
Mon 6th Oct
Tue 7th Oct
Wed 8th Oct
Thur 9th Oct
Fri 10th Oct
THE GREAT FOOD
RACE
Today you’ll be racing
around the school
on your very own
food race, competing
in challenges and
whipping up some
tasty treats too.
BOX N BURN
Get geared up with
pads and gloves
and test our some
boxing moves with
the experts. Plus
try out the latest
Powerhooping craze!
KELLY TARLTONS
Check out ultimate
Sea Life Aquarium
with over 30 live
animal exhibits, today
is not to be missed!
A SMURFS SPECIAL
Today we are going on
a Smurfs Adventure
so come dressed
wearing blue. We will
be making smurf clay
creations and the
delicious smufberry
pie.
CLIP N CLIMB
Finish off the holidays
and have fun climbing
like a monkey at Clip
n Climb. How high can
you go?
$33.00
$36.00
$50.00
$33.00
$48.00
Holiday Programme Day time 9am - 3.30pm . Please bring togs and towel as most afternoons we will be going swimming
Week 2
Junior Pool
Polo
Tue 7th Oct
Wed 8th Oct
Thur 9th Oct
Our newly developed Junior Pool Polo programme is based in the shallow pool for children 7-10years. Junior athletes will focus on a
close repetition of ball, strategy and swimming skills this will help improve your water polo game. With a specialist national coach
this is a excellent opportunity to improve every aspect of their game.
9.30am-11.00am or 3.00pm-4.30pm
$60 FOR 3 DAY PROGRAMME
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YMCA HOLIDAY CAMPS
Ultimate Adventure Residential Camp
OR
SENI PS
CAM
Age: 12-14 Years
Cost: $285.00
Location: Camp Adair
Dates: 28 September – 3 October & 5 – 10 October
Transport included from three locations
Based on 90 acres in the foothills of the Hunua Ranges campers
can escape for an adventure. Campers will choose their own
activities each day and could be doing anything from river
challenges, arts and crafts, climbing, high ropes or archery to
mud slides and more. The evenings will be filled with games,
glow worms and camp fires.
Outdoor Adventure Residential Camp
Age: 12-14 Years
Cost: $285.00
Location: Shakespear Lodge
Dates: 5 – 10 October
Transport included from two locations
Take in the amazing location of Shakespear Regional Park and
the stunning Hauraki Gulf. The Outdoors Adventure camp is
about making friends and hanging out with campers of a similar
age with similar interests. Getting stuck into some cool outdoor
activities such as archery and mountain biking, as well as some
water based favorites such as kayaking and sailing gives this
programme a great balance of being active as well as time
relaxing with friends.
Young Adventurers Expedition
Age: 10 – 14 Years
Cost: $380
Location: Camp Adair Based
Dates: 28 September – 3 October
Transport included from three locations
This incredible expedition will be jam packed with activity
creating memories for life. Based from Camp Adair campers will
be hiking the Pinnacles in the Coromandel, caving on the west
coast, visiting hotpools and more
Ski n Board Tukino Tour
Age: 10-14 Years
Cost: $775.00
Location: Tukino Ski Field hosted by Shakespear Lodge
Dates: 28 September – 3 October
Contact YMCA Shakespear Lodge for details
Discover the eastern slopes of Mt Ruapehu! Accommodation,
food, lift passes and supervision is included but equipment hire
is additional. Stay on the Tukino Ski Field and tear up the slopes
as soon as the tow opens for four days of skiing or boarding.
Coaching and tips are provided for novices and first timers from
Tukino and YMCA staff.
Jump Outdoors Residential Camp
OR
JUNI PS
CAM
Age: 6-8 Years
Cost: $285.00
Location: Shakespear Lodge
Dates: 28 September – 3 October
Transport included from two locations
With spring arriving in Shakespear Regional Park our Jump
Outdoors camp offers campers a chance to experience new
things and make new friends. With new staff from across the
YMCA Outdoors team joining our programme there will be lots
of great activities such as climbing and sailing and classic camp
games like ‘spot light’ and ‘capture the flag’ to keep campers
active for the week of camp. We look forward to welcoming you
to YMCA Shakespear Lodge.
Ultimate Adventure Residential Camp
Age: 8-11 Years
Cost: $285.00
Location: Camp Adair
Dates: 28 September – 3 October & 5 – 10 October
Transport included from three locations
Every day is different in this high energy programme and there
is no shortage of activities. Campers will choose their own
activities each day and could be doing anything from river
challenges, arts and crafts, climbing, high ropes or archery to
mud slides and more. The evenings will be filled with games,
glow worms and camp fires
Discover Outdoors Residential Camp
Age: 9-11 Years
Cost: $285.00
Location: Shakespear Lodge
Dates: 28 September – 3 October & 5 – 10 October
Transport included from two locations
The Discover Outdoors camp at YMCA Shakespear Lodge
is the ideal opportunity to get stuck into some great outdoor
activities such as kayaking, climbing, orienteering and sailing.
With new and retuning campers our YMCA Outdoors staff team
will combine all the best parts of pervious camps to make this
programme spring into life from beginning to end.
2 LOCATIONS
Camp Adair
2487 Hunua Road RD3,
Hunua 2583
PH 09 292 4886
Shakespear
Shakespear Regional Park,
Whangaparaoa
PH 09 424 7111
book online: www.ymcaauckland.org.nz
Holiday Programmes are
supported by funding from the
Ministry of Social Development.
Registration
Did you know you can register and pay online? Just go to www.ymcaauckland.org.nz
General
Information
Please complete the general information section to register your child for a Holiday Camp or Day Programme.
Child's Name........................................................................................................................... ALTERNATIVE EMERGENCY DETAILS
Age:
Name (Additional to Parent):..........................................................................................
DOB:
/
/
Sex: M
F
School Attended:...................................................................................................................
Phone:.....................................................................Mobile:...................................................................
Child’s Address:.....................................................................................................................
Relationship to Child: ........................................................................................................
Ethnicity............................................................................Postcode:....................................
Child’s Doctor: ......................................................................................................................
PARENT/CAREGIVER’S DETAILS
Ph:.................................................................................................................................................
Parent/Caregiver’s Name:................................................................................................
WORK AND INCOME DETAILS
Home Ph:........................................Mobile:.........................................Work Ph:.................................... Is this a Work and Income (WINZ) application?
E-mail:.................................................................................................................................................
WINZ Number:..............................................................................................................................
Yes
No
CAMPS
OTHER PEOPLE WHO MAY PICK UP YOUR CHILD
CAMP DETAILS
Name 1:................................................................ Name 2:...............................................................
Camp Location:
Camp Adair
Shakespear
Waiwera
Camp Title:......................................................................................Start date:
/
/
Special instructions regarding collection and access to child:..............................
.................................................................................................................................................................
TRAVEL ARRANGEMENT DETAILS
Is there anything else we need to know?.............................................................................
Please note that buses are only available to Camp Adair and Shakespear Lodge.
Private transport arrangements must be made for Waiwera Lodge.
.................................................................................................................................................................
My child will use private transport arrangements: To camp
. From camp
DAY PROGRAMME SELECTION
5-14
Years
Swim School
Holiday
Lessons
Junior
Pool Polo
Before Care
7.30am-9am
After Care
3.30-6.00pm
29th/Sept
$33.00 p
$17 p
N/A
$4 p
$10 p
30th/ Sept
$48.00 p
$17 p
N/A
$4 p
$10 p
1st/Oct
$36.00 p
$17 p
N/A
$4 p
$10 p
Camp Adair holiday camp bus times for residential camps
TO CAMP FROM CAMP
YMCA Greys Ave
2:00pm
Otahuhu Rec Centre (Mason St)
2:45pm
Papakura Rec Centre (Gt South Rd)3:30pm
Papakura Rec Centre 12.30pm
Otahuhu Rec Centre 1:15pm
YMCA Greys Ave 2:00pm
Shakespear Lodge holiday camp bus times for normal residential camps
TO CAMP Mt Albert YMCA 12:45pm
FROM CAMP Mt Albert YMCA 5:00pm
North Shore YMCA
1 :15pm
North Shore YMCA 4:30pm
2nd/ Oct
$46.00 p
$17 p
N/A
$4 p
$10 p
Please advise who is responsible for picking your child up from the bus; if this
changes contact the camp office as soon as possible.
3rd/ Oct
$33.00 p
$17 p
N/A
$4 p
$10 p
Person or people collecting your child:.........................................................................................
6th/ Oct
$33.00 p
N/A
N/A
$4 p
$10 p
7th/ Oct
$36.00 p
N/A
$4 p
$10 p
8th/ Oct
$50.00 p
N/A
$4 p
$10 p
9th/ Oct
$33.00 p
N/A
$4 p
$10 p
10th/ Oct
$48.00 p
N/A
$4 p
$10 p
Day time ph: ..........................................................Night time ph:.........................................................
Please note any special instructions regarding child collection here:
................................................................................................................................................................................
................................................................................................................................................................................
ACCOMMODATION REQUESTS
My child would like to share a room with:...................................................................................
YMCA at Sacred Heart Aquatic Centre
Gate 4, 250 West Tamaki Road, Glendowie
PH 529 3741 Email hp.sacredheart@ymcaauckland.org.nz
$60 p
N/A
Holiday Programme Total $
Daily
cost
Health
Details
Please provide your child’s health details.
Please select if your child has, has had or regularly suffers from any of
the following in the last 6 months:
Migraines
Diabetes
Heart condition
Nose bleeds
Asthma
Breaks/Fractures
ADHD
Fits
Epilepsy
Travel sickness
Infectious Diseases/Viruses
Does your child have any allergies? Yes
No
If yes please provide details:........................................................................................... .......................................................................................................................................................
Does your child have any special dietary requirements?. Yes
ADD
No
Other (Please specify):..................................................................................................
If yes please provide details............................................................................................
When was your child’s last tetanus injection:.........................................................
.......................................................................................................................................................
Does your child currently take any medication or are they
Does your child have a diagnosed or undiagnosed special need(s)
required to carry prescription medication:
Yes
No
Yes
If you selected yes please provide details and complete a medical form (see staff):
Condition:.................................................................................................................................
Name of medication:...........................................................................................................
Dosage and to be taken:.....................................................................................................
Times to be taken:.................................................................................................................
Does your child self medicate (As with Asthma):
Yes
No
No
If yes please provide details and complete special needs form (See staff)
.......................................................................................................................................................
Is there any information that would be helpful for staff to know to ensure
the physical and emotional safety of your child? (For example cultural
practices or disabilities)
.......................................................................................................................................................
.......................................................................................................................................................
Consent and Payment
TERMS & CONDITIONS
GENERAL: The information collected in this form is for the purposes of
service delivery. It may be viewed by Child, Youth and Family and is managed
in accordance with the Privacy Act 1993. Bookings are subject to payment in
full excepting WINZ bookings which require a 20% deposit or confirmation
of full support from WINZ. YMCA is not responsible for the loss or damage
of personal items left in the child’s possession. Parents/Caregivers are liable
for late fees at $10 for the first 10 minutes or part there of and $1 per minute
thereafter. In the event of an emergency where we are unable to contact you
we will proceed to administer medication and assist the child as deemed
appropriate in the circumstance. Overdue amounts may be referred to a debt
collection agency. Any expenses, disbursements and legal costs incurred
by YMCA of Auckland Inc, in the enforcement of any rights contained
in this contract shall be paid by the Customer, including any solicitor’s
fees and/or debt collection agency fees. DAY PROGRAMMES: Parents/
Caregivers are required to supply children with sufficient lunch, drinks
and a sunhat on each day of attendance. Children may be transported to or
from a YMCA site in conjunction with scheduled activities or for the health
and safety of a child. Children must be signed in and out of the programme
at the time of drop-off and collection. Children will not be released to any
person not named in the registration process without prior written consent.
No refunds or transfers are available within 24 hours of programme
commencement. Any refunds given will incur a $15 administration fee.
CAMPS: Bookings are not confirmed until a confirmation letter is issued.
No refunds or transfers are available within 5 working days of programme
commencement. Refunds for cancellations more than 5 working days prior to
programme commencement will incur a 20% cancellation fee.
PERMISSION
I give permission for my child to be photographed
Yes
No
I give permission for sun block to be applied to my child Yes
No
I give permission for my child to be transported
No
Yes
Parent/Caregiver:................................................................Signed:.......................................
CONSENT
By signing this registration form I hereby acknowledge that I have read,
understand and accept YMCA standard terms and conditions for day
programmes and camps and that the information that I have provided is
true and correct to the best of my knowledge.
Parent/Caregiver:........................................................................................................................
Signature:......................................................................................Date:.......................................
PAYMENT/CREDIT CARD DETAILS
Name of Credit Card Holder:.................................................................................................
Type of card:
Visa
Mastercard
Expiry Date:
/
Number:
Signed:.................................................................................................. Date:...............................
OFFICE USE ONLY
Total:............................................................Receipt No:..................................................................Payment Type:...................................................................Entered:.................................................
20% Part Pay (WINZ only):.......................................................................................................Balance Owing:......................................................Payment Date:.................................................
Court/Parental order(s) received
Special needs form completed
Special instructions regarding
access
Medical form completed
OSCAR Manager sign:.................................................................................................