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&: openaccess eae
~ Marden Campus
27/09/2021 1.37 Marden Roa
[MARDEN S070
7/8 Excursion to The South Australian Museum Phone (058309 3500
Fex(08) 836200485
Tol Free 1e00862.28
Dear parent/guardian, outer EAST
Fert Augusta Campus
57 Power Crescent
The Year 7/8 Excursion to the Museum is an opportunity for students to ignite curiosity PORTAUGUSTASA s700
As part of Year 7/8 History, your child is invited to participate in the Year 7/8 Excursion
to The South Australian Museum,
and consolidate our learning in History for Year 7/8 students. Beception (09) baz 2077
Fox 08) 85422569
Location: The South Australian Museum, North Terrace Adelaide TollFee 1800018 267
Date: 29/10/2021 Courier: PORT AUGUSTA,
Time: 1:00pm - 3:00pm
Students to arrive 15 minutes prior to check in outside the Museum
Governmen
To attend the event students will: Students will be required to organise their own way _&f South Australia
to and from the Museum Deparment for Edveaton
Students must bring: Their face masks
Please do NOT bring @ backpack to the venue, small bags for personal affects only
Please refer to the attached consent form for further details.
Retum the completed consent form and media consent to
tahliajonesé69 1 @schools.sa.edu.au by 21/10/2021.
Please contact me, Tahlia Jones if you have any queries or concems
tahiiajones6? 1 @schools.sa.edu.au or by telephone 0883093527,
Yours sincerely,
Ss
Tahlia Jones julie Tg¥lor
Teacher PrincipalUpsstet 123
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258
CONSENT FORM FOR CAMP, EXCURSION, SPORTING OR ADVENTURE ACTIVITY
(Note: that parents includes independent students, see definitions of the camps and excursions procedure)
Requirements in this document must not be alfered. Please use block letters when ling ut this frm
As a parent of:
{ stuvenrichito's Name
l
I
[morn
give my consent for [name of child] to participate in:
NAME OF
CAMPIEXCURSION/SPORTING | Year 7/8 Excursion tothe South Australian Museum
OR ADVENTURE ACTIVITY
do not give my consent for [name of child] to partici
ation:
ate in any religious activities outlined below (if applicable)
LOCATION Noth Terrace, Adelaide SA 5000 (Between the Art Gallery and the State Library)
FROM: To: oron:[2 9] to] 27
Does your child have any health support, or medication administration needs that should be considered for camps,
excursions etc? Yes [_]No [_]N/A
If Yes, has a care plan/medication agreement been provided to the school/preschoo!? Yes [_]No [_]N/A
JFNo, please provide a completed care plan/medication agreement to the school/preschool on completion of this form.
Any other matters that may impact your child's participation in the above activities safely? Yes [_] No
It Yes, please outline details to the school/preschool in the box below.
Details of planned activities, transport arrangements, anticipated number of students/children and supervising
teachers/instructors are provided on the information sheet below.
Agreement
+ Lagree to delegate my authority to supervising teachers/instructors. Such supervisors may take whatever disciplinary action
they deem necessary to ensure the safety, well-being and successful conduct of the students as a group and individually
‘+ Inthe event of an accident or illness and contact with me being impracticable or impossible, | authorise the teacher-in-
charge to arrange whatever medical or surgical treatment a registered medical practitioner considers necessary. | will pay
all medical and dental expenses incurred on behalf of my child. | understand that | may seek payment of any ambulance
invoice by the department if my child does not have private ambulance cover.
‘+ Where appropriate | have also attached additional or updated health care information, including details of any additional
health support he/she requires to undertake the above activities safely
‘+ The information given is accurate to the best of my knowledge
+ lacknowledge that a risk management form is available upon request for my inspection at the site.
Signed Date ft
Parent (in case of emergency)
NAME,
RELATIONSHIP
TOCHILD
‘TELEPHONE (1) TELEPHONE (2) MOBILE
‘Student Medic Alert Number (If applicable)
“Any health care information provided isnot intended to prevent your child participating unless specific medical advice warrants exclusion. The health care
information you supply o the schoolipreschoo! willbe treated confidentially. Such information is sought in order to protect and assist the student so the activity
may be a safe and enjoyable experience. Please contact the teacher incharge Ifyou wish to discuss any health care problems.> Goverment of South Atria
& Depanentfor fa
ACTIVITY INFORMATION SHEET
(Note: for a series of activities that take place on a regular basis (including regular outings), list all individual
activities, dates, locations, cost, transport, supervision arrangements and start and dismissal times)
REASON FOR AND DESCRIPTION
OF PLANNED ACTIVITIES ~
INCLUDING SPECIALISED ‘Students have the opportunity to engage in an optional excursion tothe SA Museum.
CLOTHING OR EQUIPMENT THAT
WILL BE REQUIRED AND On the Excursion students wil be guided thraugh the Museum by teaching staf from OAC to explore the different
PROGRAMS PLANNED FOR artefacts and exhibits as part of the Tem 4 History Unit
‘STUDENTS UNABLE TO ATTEND
“The Muscum has § floors to explore, an elevator is avaiable for accessibility needs
‘Students are NOT to bring backpacks through the Museum, small bags for phone and wallet is okay
For students unable to attend the normsl schooling commitments are expected (attending lessons on at tis time)
Face Masks are a requirement forall students 12 years and up in the Museum
‘TRANSPORT ARRANGEMENTS —
INCLUDING DESCRIPTION OF
DESTINATION AND PICK UP
LOCATION, METHOD, MEANS
AND ANY SPECIFIC
REQUIREMENTS FOR
‘SEATBELTS OR SAFETY
RESTRAINTS.
Students ar to be cropped off at the Museum 15 minutes prior tothe stat time for check in at 1:00pm
‘Students are tobe picked up from the Museum on completion of the excursion at 3:00pm
‘Any other arrangements need to be negotiated withthe managing teacher: Tabla Jones.
(tabla jonest31@schoo's sa.edu.au)
‘SLEEPING ARRANGEMENTS
(WHERE APPLICABLE)
NA
NUMBER OF 1
'STUDENTICHILDREN
ATTENDING 2
NUNBER OF SUPERVISING
‘TEACHERS, INSTRUCTORS AND
ADULTS ATTENDING 3
FOR EDUCATION AND CARE
SERVICES ~ THE EDUCATOR TO
CHILD RATIO 110
‘COSTS ~ INCLUDING BETAS
OF ANY FINANCIAL ASSISTANCE
AVAILABLE so
‘CONTINGENCY PLANS —
INCLUDING ALTERNATIVE
PROGRAMS (WHERE
APPLICABLE)
In the instance thatthe excursion needs fo be cancelled, the lead teacher will communicate thi to you in the
morning
It your students not attending the excursion lessons wil continue as narmal
In the instance that a student is misbehaving during the excursion, the PGI contact will be called and asked to
collect the student rom the museum,
‘SITE BASED CONTACT PERSON
‘AND TELEPHONE NUMBER AND | While on the excursion @ mobile phone wil be available to communicate with staff at the Museum
‘SITE CONTACT DETAILS.
if unavailable contact Kate Piper
mal: Katie Pipe6s0@schools.ca.edu.eu
| Phone: 0883083538
This form comping with the EAwatinn and Care Senses Natinnal Ranlatinns = Aithorsatinn fr aeBs onenaccess
E0169
Update 0820,
APPLICATION TO CONDUCT A CAMP OR EXCURSION
(Requirements in this document must not be altered. Please use block letters when filing out this form)
APPLICATION FOR EDUCATION EXCURSIONS:
+ INTRASTATE TRAVEL (Approved by PRINCIPALIPRESCHOOL DIRECTOR)
‘+ INTERSTATE TRAVELIINTERSTATE USE OF DEPARTMENTAL VEHICLES (Approved by EDUCATION DIRECTOR) (excluding