Excursion Proposal

Form

Excursion Title Year 10 Outdoor Education Indoor Rock Climbing

Ben Clark Excursion 14/05/2021

Excursion Leader
Date & Time
Mandurah Indoor Rock Climbing: 3/12 Thornborough Road Greenfields WA
Excursion
6210
Location

To extend and consolidate student’s knowledge related to roping in an

outdoor education setting.
Purpose/Aims

Students/Classes 10OED#1, 10OED#2 Total Number 31

Attending of Students
Other Staff Rachael Berlin, Ryan Spencer
Attending

Cost of Bus(es) $187

Cost of Venue(s) $713

Other Costs (please

be specific)

Cost per
Total Cost $900
student
Student Co-
☐YES ☒NO $ per student
payment
MAKE PAYMENT
TO (Please add specific
details for P.O.)

Recommendations
HOLA/Line Manager
Date
Signature
Head of School Signature Date

Office use only

Application ☐approved ☐not approved If approved, this has been to DOGs and noted on Daily
Org and appropriate calendars

HOS Signature Date

Principal Date

☐ Copy to Accounts if Applicable

 Excursion Proposal
Form

Checklist for Excursion/camp

Once proposal has been approved, please ensure the following tasks have been completed

1. Purchase Orders- Obtain purchase orders from your Head of School or HOLA
When
completed Purchase Orders required (where applicable) Supplier Purchase Order
number

☒ Transport Cost Zippy Rentals 38888

☒ Venue/ Entry Cost Mandurah Indoor Rock 38886

Climbing
☒ Other Costs (Please detail)

☒ 2. Book Transport
See office staff in parent reception with your purchase order number to book
transport (if applicable)
3. Complete Excursion Risk Assessment and submit to Head of School
☒
approval.
Please include copies of the following:
☒ Excursion risk assessment Please submit all paperwork to your

☐ Full itinerary for the excursion/camp Head of School by:

☒ Parent consent form/letter

☐ Class lists of students participating Documentation must be completed and submitted for
checking 2 weeks prior to excursion/camp

☐ Any other notes or documentation