UWA Sport & Recreation Association

The University of Western Australia M412, 35 Stirling Highway, Crawley WA 6009 Tel +61 8 6488 2286Fax +61 8 6488 1043 Email dogle@uwa.edu.auWeb www.sport.uwa.edu.au

CRICOS Provider Code: 00126G

DeclarationI agree not to hold the UWA Sport & Recreation

Association (UWA Sports) and/or employees liable for any

personal injuries or accidents arising from my child’s/

children’s participation in any UWA Sports activity unless

the organisation is deemed negligent. I also confer that

they are physically and mentally capable to undertake

activities in the program. I also understand that my

child(ren) may be photographed for use in future Uni

Sport For Kids promotions. I also agree to allow my

child(ren) to watch G or PG rated movies in aftercare.

Parent/Guardian Signature:__________________Date:_______

Please return this form to the UWA Sport & Recreation Association by either mail, fax or email.

Book NOW to secure your spot!Simply tick your preferred date(s) and time(s).

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Uni Sport For Kids2011 Autumn Program20 April - 5 May 2011

UWA Sport & Recreation Association

UWA Sport & Recreation Association

The University of Western Australia M412, 35 Stirling Highway, Crawley WA 6009 Tel +61 8 6488 2286Fax +61 8 6488 1043 Email usfk@sport.uwa.edu.auWeb www.sport.uwa.edu.au

CRICOS Provider Code: 00126G

Fri

Public Holiday

ThursWedTues

Public Holiday

Mon

Public Holiday

Weekly8am-1pm

8am-3:30pm8am-5:15pm

8am-1pm8am-3:30pm8am-5:15pm

8am-1pm8am-3:30pm8am-5:15pm

Week 1: 18-22

April 2011Week 2:

25-29 April 2011

Week 3: 2-6

May 2011

CostsDaily Weekly Weekly > 1 child

8am-1pm $42.00 $189.00 $178.508am-3:30pm $47.00 $211.50 $199.758am-5:15pm $52.00 $234.00 $221.0010

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uWA Sports

Enrolment Form

What is Uni Sport For Kids?Uni Sport For Kids runs during school holidays and is a fun and exciting, multi-sport day camp for children aged 5-12. Uni Sport For Kids exposes children to many different sports in a friendly, non-competitive environment.

With the focus on participation and having a good time, this program is excellent for introducing kids to new sports and for keeping them active and happy during the school holidays.

Uni Sport For Kids is run by an experienced team of enthusiastic and friendly leaders, made up of UWA Sports staff, Sport Science, Exercise and Health students, Education students, UWA graduates and school teachers. All leaders are well trained in a variety of sports and each has first aid training, a current police clearance and a Working With Children Check.

So hurry on down to UWA Sports and send your kids to Uni!

The SportsAthletics Aussie Rules Badminton

Basketball Cricket Dodge-Ball

Floorball Flying Fox Frisbee

Giant Swing Hockey Netball

Rugby Squash Soccer

Softball Tennis Touch Rugby

Volleyball Taekwon-Do

Please note: Sports are subject to change.

General informationEnrolmentsDue to the success and the need to adequately staff the program, pre-enrolment one week before the commencement of the program is recommended.

Friend For Free DayThe ‘Friend For Free’ promotion encourages children to bring a friend to the Uni Sport for Kids program on set days for free. The friends attending for free must stay for the same time as the paying child, must be attending the program for the first time ever, and may not be a relative.

Where To GoUWA Recreation & Fitness Centre, Car Park 1, 35 Stirling Highway Crawley. Visitors paid parking is available in front of the centre.

What To BringNon-marking sandshoes, a hat and morning tea (adequate lunch and afternoon tea if staying until 3:30pm or 5:15pm). Children are not permitted to purchase food or drink without a parent or guardian present.

Child Care RebateReceipts are given as requested and sent in the fortnight after the program. The provider number is 555-017-0135.

Enrolment FormParent/Guardian Name___________________________

Child Name___________________DOB__________M/F

Child Name___________________DOB__________M/F

Child Name___________________DOB__________M/F

Address_______________________________________

Suburb________________________Post Code_______

Phone_______________Email_____________________

Emergency Number______________________________

School________________________________________

Medical Conditions/Allergies____________________________________________________________________

Child Care Provide Receipt YES/NO

How did you hear about USFK?

Previous Participant Flyer

Word of Mouth School

Your affiliation with UWA:

UWA Staff UWA Student

UWA Graduate General Public

CUSTOMER TO COMPLETE, OFFICE TO CONFIRM

Amount Paid: $_______________

Cash EFTPOS Visa

MasterCard Salary Packaging

Name on card:__________________________________

Card no.:_________________________Expiry:________

Entered by:_______________________Date:_________

Send your kids to Uni! Enrolment Form