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26th February, 2015,
Level 3 Camp
Sunnystones Country Retreat
Dear Level 3 (Years 3 and 4) Parents,
Arrangements for the 2015 Level 3 (Years 3 and 4) Camp to “Sunnystones Country Retreat”
Bacchus Marsh have now been finalised and confirmed. The Camp is being held from
Wednesday 27th May to Friday 29th May, 2015.
Children will be experiencing activities covering areas from the Science, Technology, Health &
Physical Education and Interpersonal domains.
Activities include a low ropes course, initiative course, bush art, orienteering, environmental walk,
bush hut building and team games. These are only a sample of the activities that will be made
available. The single most important benefit of the camp program lies in the social interactions that
occur when living for a few days in an isolated, cohesive community.
Travel to and from the Camp will be in seat belt equipped Coaches.
The total cost of the camp will be $210.00 for 2 nights and 3 days.
The website address is http://www.sunnystones.com.au/
It is an expectation that the costs are fully paid by the due date in order for students to attend.
Please do not hesitate to contact me should you have any queries regarding the camp.
Complete the following forms and return to the school office as soon as possible.
1.
2.
3.
4.
Parent Consent Form
Confidential Medical Form
School Camp Asthma Action Plan
Special Dietary Form
Regards,
Wendy Stirling
Principal
LEVEL 3 SCHOOL CAMP – SUNNYSTONES COUNTRY RETREAT
Wednesday 27th May to Friday 29th May, 2015
Parent Consent Form
Student behaviour
I understand that in the event of my son’s/daughter’s misbehaviour, or behaviour that poses a
danger to himself/herself or others during the camp, he/she may be sent home. I further
understand that in such circumstances I will be informed and that any costs associated with
his/her return will be my responsibility.
Consent for emergency transportation
In the event of an emergency I consent to my child being transported in a privately owned vehicle
driven by a member of the supervisory staff.
I have read all the above information provided by the school in relation to the excursion, including
any attached material.
I have included the following forms:
□ Confidential Medical Form (compulsory)
□ Confidential Special Dietary Form
□ School Camp Asthma Action Plan
I give permission for my daughter/son __________________________(full name) to attend the
Level 3 Sunnystones camp
Parent/guardian:
____________________________ (full name)
____________________________ (signature) _______(date)
In case of emergency I can be contacted on:
_________________________________ OR:
_________________________________
LEVEL 3 SCHOOL CAMP – SUNNYSTONES COUNTRY RETREAT
Wednesday 27th May to Friday 29th May, 2015
PAYMENT PLAN
DATE PAYMENT IS DUE
March 11th 2015
March 25th 2015
April 15th 2015
May 13th 2015
st
1 Instalment
2nd Instalment
3rd Instalment
FINAL Instalment
AMOUNT
$50.00
$50.00
$55.00
$55.00
Payments must be paid in full by the final due date or your child will not be able to attend
the camp. If you need to make an alternative payment plan, please see Eleonore Wolske.
PAYMENT OPTIONS
Send in forms below with:
 Cash or Cheque
 Credit Card
Bpay – Please use your personal Bpay details as provided by the school
Direct Deposit
Our account details for Direct Deposit are:Bank BSB Account Name -
mecu Limited
313-140
12075077
Kingston Heath Primary School Official Account
When making deposits, please use your name and what the payment is for as a reference, for
example: SMITH 2015 CAMP
………………………………………………………………………………………………………………….
LEVEL 3 SUNNYSTONES CAMP
1 INSTALMENT DUE Wednesday 11th MARCH, 2015
st
Child’s Name_______________________________________
Grade___________
AMOUNT: $50.00
METHOD OF PAYMENT
CASH/CHQ
CREDIT CARD
CREDIT CARD NUMBER
EXPIRY DATE
CCV (ON BACK OF CARD)
□ PLEASE AUTOMATICALLY CHARGE MY CREDIT CARD ON THE DATE THAT FUTURE PAYMENTS ARE DUE
Signature ……………………………………………...
nd
2
LEVEL 3 SUNNYSTONES CAMP
INSTALMENT DUE Wednesday 25th MARCH, 2015
Child’s Name_______________________________________
Grade___________
AMOUNT: $50.00
METHOD OF PAYMENT
CASH/CHQ
CREDIT CARD
CREDIT CARD NUMBER
EXPIRY DATE
CCV (ON BACK OF CARD)
Signature ……………………………………………...
………………………………………………………………………………………………………………….
LEVEL 3 SUNNYSTONES CAMP
3 INSTALMENT DUE Wednesday 15th APRIL, 2015
rd
Child’s Name_______________________________________
Grade___________
AMOUNT: $55.00
METHOD OF PAYMENT
CASH/CHQ
CREDIT CARD
CREDIT CARD NUMBER
EXPIRY DATE
CCV (ON BACK OF CARD)
Signature ……………………………………………...
………………………………………………………………………………………………………………….
LEVEL 3 SUNNYSTONES CAMP
FINAL INSTALMENT DUE Wednesday 13th MAY, 2015
Child’s Name_______________________________________
Grade___________
AMOUNT: $55.00
METHOD OF PAYMENT
CREDIT CARD NUMBER
EXPIRY DATE
CCV (ON BACK OF CARD)
Signature ……………………………………………...
CASH/CHQ
CREDIT CARD