PRINCIPAL: Mr.

Shane Altmann
TELEPHONE: 41285500
EMAIL: admin@stjameslc.qld.edu.au
138-172 Pantlins Lane
Urraween QLD 4655
Dear Parents/Caregivers,
The following information is necessary for you and your child regarding the
Year 4 camp.
Camp will be held at Maranatha Recreational Camp, Yandina.
The dates are Wednesday 28
th
May Friday 30
th
May (Week 6, Term 2)
Transport to and from camp will be provided by Pollys Coaches
Whilst at Maranatha, the students will take part in a variety of activities-
mostly outdoors. These activities are based upon problem solving and
teamwork.
Wednesday 28
th
May- students must be at school by 7:30am. Our
meeting area will be at the bus shelter. The bus will leave at 8:00am.
Students are required to bring a pillow, which can be on the bus with
them.
Students must wear covered shoes ie. Joggers, thongs are only for
showering.
Students are not to wear good clothes.
Students are not to bring any electrical games or devices.
Friday 30
th
May , students will arrive back at the college at
approximately 3:30pm. Parents will need to arrange pick up for their
child at this time.
Staff/Parent helpers are: Lauren Coverdale, Deiree DeHue, Glenn
Richters, Gail Parry, Rachell Hickmott & Shanen Hansen
If you need to contact your child in an emergency situation, Maranatha
Recreational Camp can be contacted on 07 54467157.
We are looking forward to a fun filled camp full of exciting adventures!
Yours in Christ,


Hollie Parker Lauren Coverdale Ann Fleming
Year 4 Teacher Year 4 Teacher Head of Junior School

PRINCIPAL: Mr. Shane Altmann
TELEPHONE: 41285500
EMAIL: admin@stjameslc.qld.edu.au
138-172 Pantlins Lane
Urraween QLD 4655

Years 4 camp to Maranatha Recreational Camp, Yandina, 2014
Would you please complete and return this permission form as soon as
possible with the medical form.
My child, ____________________________________ will be attending the
2014 camp to Maranatha Recreational Camp, Yandina.
NOTE: If your child will not be attending camp you need to discuss this
situation with Mrs Ann Fleming.

I give permission for my child ________________________ to attend camp at
Maranatha Recreational Camp on Wednesday 28
th
May to Friday 30
th
May
2014. I understand that students will be travelling by bus to and from this
event.

I agree to delegate my authority to the teacher involved. Such teacher/s may
take action they deem necessary to ensure the safety, wellbeing and successful
conduct of the students as a group or individually in the above mentioned
activity. I also authorise the teacher/s to obtain medical assistance which they
deem necessary should an incident occur, and agree to pay all medical
expenses incurred on behalf of the above student. I further authorise qualified
medical practitioners to examine and if necessary administer anaesthetic if
such an eventuality arises.

Signature: ______________________________ Date: ________________






St James Lutheran College Camp Medical Form
Maranatha Recreational Camp, 2014
Students Name: Gender: Male Female
DOB:

Emergency Contact (1) (eg: parent / guardian)
Name: Relationship:
Ph (Bus Hrs): Address:
Ph (AH):
Mobile:
Emergency Contact (2) (eg: alternate contact)
Name: Relationship:
Ph (Bus Hrs): Address:
Ph (AH):
Mobile:

Medicare No. Usual GP:
Position on card: Phone:
Private Health
Fund
Yes / No Membership
Number:

Other Details
Condition Yes / No Details
Heart Trouble
Respiratory Problems
Asthma Please attach
management plan

Severity: Low / Medium / High / Extreme
Asthma Recently hospitalised. If so,
what date?

Allergies:
Bees / Wasps / Animals / Plant / Food /
Drugs
Severity: Low / Medium / High / Extreme

Blood Pressure
Phobias
Sleep Walking
Recent Illness
Tetanus up to date (date)
Can take pain killers:
Paracetamol, Asprin etc.

Swimmer POOR AVERAGE CONFIDENT

Special Dietary Requirements: Yes / No
Details:______________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
_________________________________________________
Current Medications: Include dosage
Medication Dosage Frequency







Other Important Information:
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
_____________________________
Parent / Guardian Signature Date


List of Items to Bring

Piece of fruit
Sleeping Bag
Sheet Pillow Pillow case
1 Towel
OLD CASUAL CLOTHES: Enough for duration of camp (avoid white
and only suitable slogans for a school camp on clothing)
o Jeans / Shorts (no hot pants / skirts or footy shorts)
o Long pants (2-3 pair )
o Shirts with sleeves (no singlets or crop tops)
o Jumpers (at least one)
o Underwear and socks
o Tracksuit
o Pyjamas
o School hat
o Sturdy shoes / joggers
o Thongs for shower time

Personal items soap, shampoo, deodorant, brush, toothbrush &
paste and any other personal hygiene items
Insect repellent (stick or liquid)
Sunscreen
Any medication required (handed to teachers with instruction /
dosage)
Torch with new batteries
Raincoat / parka
Book to read
Pencil case
Water bottle (at least 2L, needs to be portable and reusable)

What NOT To Bring

Lollies / sweets / soft drinks / chewing gum
Mobile phones
Any electronic devices
Pump Action / Aerosol Cans of any kind
Hair dryers
Razors / Swiss Army Knives or any weapons
Nuts

Students that choose to bring items on this list may be deemed to be not
participating in a satisfactory manner at the school camp.