OOSH – Swan Hill After School Program – Booking Form Swan Hill After School Program – Booking Form 1Intro2Family3Term 14Term 25Term 36Term 47Agreement You can use this form to Book your children into the Swan Hill After School Program Please note Only one After School Hours booking form is required for all your children, unless their term dates vary Your childen must be enrolled in the Out of School Hours (OOSH) program before they can be booked into theAfter School program. If your child is not enrolled in the OOSH program, click here to fill in an enrolment application first. Who can use this form A parent or guardian who has parental responsibility for the children being booked into the program We are not currently accepting after school bookings for St Mary’s or Swan Hill North students. After school options for these students is available by contacting St Mary’s Primary School. While completing this form, we will request Personal details School details Term 1 to 4 booking dates It will take about 5 minutes to complete this form. Please note Fees will be charged for Public Holidays from the start of Term 1 if they fall in the term and on the day your child usually attends You will be charged for any bookings, even if they are not attended Be sure to take into account any known holidays, RDO’s, school camps etc when making your booking Parents who do not book could miss out on care or activities on any one day After you submit this form We will send you an email receipt to confirm we have received your application A staff member will be in contact with you to discuss your booking Completing this form is not a confirmation of booking What happens with your information? Information requested on this form is required by Swan Hill Rural City Council in order to process your application. We will handle any personal information you provide on this form in accordance with the Privacy and Data Protection Act 2014. We record this information on our customer databases and make it available to relevant Council staff in line with our Privacy Statement. You can access your personal information by contacting our Privacy Officer. ChildrenList your children being enrolled in the After School Program(Required)Click the + to add more childrenFirst nameSurname Add RemoveInterestsWhat is your child interested in at the moment? (i.e. sports, craft)(Required)For multiple children please include names and interestsEmotional, social and physical skillsAre there any emotional, social or physical skills your child may need help to further enhance?For multiple children please include names and describe their needsParents / GuardiansList parents / guardians(Required)Click the + to add another parent / guardianFirst name and surnamePhoneRelationship to children Add RemoveOther people authorised to collect child/children List other people authorised to collect child / children(Required)Click the + to add another parent / guardian. These should to be the same people listed on the enrolment form. If they are new people you can select 'yes' the button below to add them to your enrolment form.First name and surnamePhoneRelationship to children Add RemoveAdd authorised people listed above to my childs enrolment form(Required) Yes No InvolvementIs there any area of the program that you may like to be involved in?(e.g. sharing a skill, assisting at program, reviewing policies)SuggestionsDo you have any suggestions of what we could plan to do at the program to support your child / children? TERM 1TERM 1 - Please complete option 1 or option 2 The program is closed on the following dates in Term 1 Monday, 26 January 2026 (Australia Day public holiday because Australia Day falls on the Sunday)Tuesday, 27 January 2026 (Closure day)Monday, 9 March 2026 (Labour Day public holiday)Friday, 3 April 2026 (Good Friday)Monday, 6 April 2026 (Easter Monday) Option 1Select days for every week in Term 1Days selected for every week in Term 1 Monday Tuesday Wednesday Thursday Friday Option 2Show all dates for term 1 and select individual days Show all dates for term 1 and select individual days Monday, 26 January - Friday, 30 January 2026 Monday, 26 January - Friday, 30 January 2026 Closed.. Closed.. Closed.. Thursday Friday Monday, 2 February - Friday, 6 February 2026Monday, 2 February - Friday, 6 February 2026 Monday Tuesday Wednesday Thursday Friday Monday, 9 February - Friday, 13 February 2026Monday, 9 February - Friday, 13 February 2026 Monday Tuesday Wednesday Thursday Friday Monday, 16 February - Friday, 20 February 2026Monday, 16 February - Friday, 20 February 2026 Monday Tuesday Wednesday Thursday Friday Monday, 23 February - Friday, 27 February 2026Monday, 23 February - Friday, 27 February 2026 Monday Tuesday Wednesday Thursday Friday Monday, 2 March - Friday, 6 March 2026Monday, 2 March - Friday, 6 March 2026 Monday Tuesday Wednesday Thursday Friday Monday, 9 March - Friday, 13 March 2026Monday, 9 March - Friday, 13 March 2026 Closed.. Tuesday Wednesday Thursday Friday Monday, 16 March - Friday, 20 March 2026Monday, 16 March - Friday, 20 March 2026 Monday Tuesday Wednesday Thursday Friday Monday, 23 March - Friday, 27 March 2026Monday, 23 March - Friday, 27 March 2026 Monday Tuesday Wednesday Thursday Friday Monday, 30 March - Friday, 3 April 2026Monday, 30 March - Friday, 3 April 2026 Monday Tuesday Wednesday Thursday Closed.. TERM 2TERM 2 - Please complete option 1 or option 2 The program is closed on the following dates in Term 2 Monday, 8 June 2026 (Kings Birthday) Option 1Select days for every week in Term 2Days selected for every week in Term 2 Monday Tuesday Wednesday Thursday Friday Option 2Show all dates for term 2 and select individual days Show all dates for term 2 and select individual days Monday, 20 April - Friday, 24 April 2026Monday, 20 April - Friday, 24 April 2026 Monday Tuesday Wednesday Thursday Friday Monday, 27 April - Friday, 1 May 2026Monday, 27 April - Friday, 1 May 2026 Monday Tuesday Wednesday Thursday Friday Monday, 4 May - Friday, 8 May 2026Monday, 4 May - Friday, 8 May 2026 Monday Tuesday Wednesday Thursday Friday Monday, 11 May - Friday, 15 May 2026Monday, 11 May - Friday, 15 May 2026 Monday Tuesday Wednesday Thursday Friday Monday, 18 May - Friday, 22 May 2026Monday, 18 May - Friday, 22 May 2026 Monday Tuesday Wednesday Thursday Friday Monday, 25 May - Friday, 29 May 2026Monday, 25 May - Friday, 29 May 2026 Monday Tuesday Wednesday Thursday Friday Monday, 1 June - Friday, 5 June 2026Monday, 1 June - Friday, 5 June 2026 Monday Tuesday Wednesday Thursday Friday Monday, 8 June Friday, 12 June 2026Monday, 8 June Friday, 12 June 2026 Closed.. Tuesday Wednesday Thursday Friday Monday, 15 June - Friday, 19 June 2026Monday, 15 June - Friday, 19 June 2026 Monday Tuesday Wednesday Thursday Friday Monday, 22 June - Friday, 26 June 2026Monday, 22 June - Friday, 26 June 2026 Monday Tuesday Wednesday Thursday Friday TERM 3TERM 3 - Please complete option 1 or option 2 The program is closed on the following dates in Term 3 Friday late September (AFL pre grand final – date to be confirmed) Option 1Select days for every week in Term 3Days selected for every week in Term 3 Monday Tuesday Wednesday Thursday Friday Option 2Show all dates for term 3 and select individual days Show all dates for term 3 and select individual days Monday, 13 July - Friday, 17 July 2026Monday, 13 July - Friday, 17 July 2026 Monday Tuesday Wednesday Thursday Friday Monday, 20 July - Friday, 24 July 2026Monday, 20 July - Friday, 24 July 2026 Monday Tuesday Wednesday Thursday Friday Monday, 27 July - Friday, 31 July 2026Monday, 27 July - Friday, 31 July 2026 Monday Tuesday Wednesday Thursday Friday Monday, 3 August - Friday, 7 August 2026Monday, 3 August - Friday, 7 August 2026 Monday Tuesday Wednesday Thursday Friday Monday, 10 August - Friday, 14 August 2026Monday, 10 August - Friday, 14 August 2026 Monday Tuesday Wednesday Thursday Friday Monday, 17 August - Friday, 21 August 2026Monday, 17 August - Friday, 21 August 2026 Monday Tuesday Wednesday Thursday Friday Monday, 24 August - Friday, 28 August 2026Monday, 24 August - Friday, 28 August 2026 Monday Tuesday Wednesday Thursday Friday Monday, 31 August - Friday, 4 September 2026Monday, 31 August - Friday, 4 September 2026 Monday Tuesday Wednesday Thursday Friday Monday, 7 September - Friday, 11 September 2026Monday, 7 September - Friday, 11 September 2026 Monday Tuesday Wednesday Thursday Friday Monday, 14 September - Friday, 18 September 2026Monday, 14 September - Friday, 18 September 2026 Monday Tuesday Wednesday Thursday Friday TERM 4TERM 4 - Please complete option 1 or option 2 The program is closed on the following dates in Term 4 Monday, 2 November 2026 (Closure Day) Tuesday, 3 November 2026 (Melbourne Cup Public Holiday) Monday, 21 December 2025 to Friday, 1 January 2026 Option 1Select days for every week in Term 4Days selected for every week in Term 4 Monday Tuesday Wednesday Thursday Friday Option 2Show all dates for term 4 and select individual days Show all dates for term 4 and select individual days Monday, 5 October - Friday, 9 October 2026Monday, 5 October - Friday, 9 October 2026 Monday Tuesday Wednesday Thursday Friday Monday, 12 October - Friday, 16 October 2026Monday, 12 October - Friday, 16 October 2026 Monday Tuesday Wednesday Thursday Friday Monday, 19 October - Friday, 23 October 2026Monday, 19 October - Friday, 23 October 2026 Monday Tuesday Wednesday Thursday Friday Monday, 26 October - Friday, 30 October 2026Monday, 26 October - Friday, 30 October 2026 Monday Tuesday Wednesday Thursday Friday Monday, 2 November - Friday, 6 November 2026Monday, 2 November - Friday, 6 November 2026 Closed.. Closed.. Wednesday Thursday Friday Monday, 9 November -- Friday, 13 November 2026Monday, 9 November -- Friday, 13 November 2026 Monday Tuesday Wednesday Thursday Friday Monday, 16 November - Friday, 20 November 2026Monday, 16 November - Friday, 20 November 2026 Monday Tuesday Wednesday Thursday Friday Monday, 23 November - Friday, 27 November 2026Monday, 23 November - Friday, 27 November 2026 Monday Tuesday Wednesday Thursday Friday Monday, 30 November - Friday, 4 December 2026Monday, 30 November - Friday, 4 December 2026 Monday Tuesday Wednesday Thursday Friday Monday, 7 December - Friday, 11 December 2026Monday, 7 December - Friday, 11 December 2026 Monday Tuesday Wednesday Thursday Friday Monday, 14 December – Friday, 18 December 2026Monday, 14 December – Friday, 18 December 2026 Monday Tuesday Wednesday Thursday Friday School pickupIs school pickup required?(Required) Yes No Select school Swan Hill Specialist School Beverford District Primary School Woorinen District Primary School Swan Hill Primary School After School program participation agreement Agreement I consent for my child/ren to be escorted by an Out of School Hours educator from the Swan Hill Specialist School to Swan Hill Primary School art room via the Yana Street School crossing to attend the After School Program. Walking from the Swan Hill Specialist School could take between 5-10 minutes.Required Agreement I consent for my child/ren to be escorted by an Out of School Hours educator from the Beverford District Primary School bus drop off at Yana Street bus zone at the entrance to Swan Hill Primary School Yana Street entrance to attend the After School Program. Required Agreement I consent for my child/ren to be escorted by an Out of School Hours educator from the Woorinen District Primary School bus drop off at Yana Street bus zone at the entrance to Swan Hill Primary School Yana Street entrance to attend the After School Program. Required Agreement I consent to my child/ren walking from their class at Swan Hill Primary School to attend the After School Program in the art room at Swan Hill Primary School. Required Agreement I understand the risk assessments for delivery and collection of children and policies and procedures are available at the After School Program for parents to read. Required Agreement I understand there will be two educators walking the children to the After School Program. The number of children vary depending on bookings. Required Agreement I understand that my child/ren’s education and care does not commence until an educator has signed them in. Required Full name(Required)Email address(Required)