Year Seven Lightning Carnival Purpose of excursion: Lightning Sports Carnival Venues: Various Venues Activities undertaken at venues: Sporting Date: Thursday 28th May Cost: $10.00 Dismissal place/time: Science Block (3:00pm) Meeting place/time: Science Block 8.10am Transport: Private Bus Company (Buswest) Sport/ Supervising Teacher/ Location AFL – Rhett Brown – Sutherlands Park, Gosnells Boys Soccer – Ray Scata – Sutherlands Park, Gosnells Girls Soccer – Sharon Higgins – Coker Park, Cannington Basketball (Girls and Boys) – Brad Spicer and Brianna Higginson – Ray Owen Centre, Lesmurdie Netball – Rose Williamson and Michaela Sermon – Langford Park Complex, Langford Special clothing or other requirements: - Students will need to bring their own food and water bottle for the day. - Students must wear College Sports Uniform items and adequate footwear. - Mouthguard and other personal protective equipment is recommended. During the excursion, the teacher in charge of each sport can be contacted through the school on 9550 6100. In the case of an emergency occurring during the excursion, the school and relevant parent/ guardians will be contacted with unaffected students being returned to school. Where it is considered necessary, school staff will arrange medical assessment and treatment for students. Staff action in case of accident or illness on the excursion Staff accompanying students on excursions will take all reasonable care while the students are in their charge to protect them from injury and to control and supervise their behaviour and activities. Parents/guardians should be aware that staff members are not responsible for injuries or damage to property which may occur on an excursion where, in all circumstances, staff have not been negligent. In the case of excursions not involving an overnight stay, costs incurred as a result of accident or illness is the responsibility of the parent/guardian. Parents are required to inform the organisers well before the scheduled excursion departure of any change to their child’s health and fitness so that appropriate supervision may be arranged. Where it is considered necessary, school staff will arrange medical assessment and treatment for students. All permission forms, medical information and money must be returned to the College office by Friday 1st May to allow nominations of teams to take place. If you have any queries about the competition please do not hesitate to contact the College on 9550 6100. Rhett Brown Health and Physical Education Byford Secondary College THIS SHEET IS TO BE RETAINED BY PARENT/GUARDIAN. Year Seven Lightning Carnival PARENT/GUARDIAN CONSENT (TO BE RETURNED TO THE FRONT OFFICE) I have read and understood the attached information regarding the Year 7 Lightning carnival excursion and give my consent for my son/daughter : STUDENT NAME: to attend. Where it is not practical to communicate with me, I authorize the teacher in charge of the excursion to consent to my child receiving such medical treatment as may be considered necessary. I am aware that the Department of Education insurance does not cover personal accidents through misadventure nor loss or damage of personal belongings. Name of Parent/Guardian: (please print) Signed (Parent/Guardian) Phone No: Date: Home: Work: Mobile: Alternative Contact if unavailable (Please provide details of friend or relative to be contacted. Name: ____________________________ Contact:___________________________ Relationship to you: ____________________________________ SPORT SELECTED (PLEASE CIRCLE) NETBALL AFL BOYS BASKETBALL GIRLS BASKETBALL BOYS SOCCER GIRLS SOCCER BYFORD SECONDARY COLLEGE STRICTLY CONFIDENTIAL STUDENT MEDICAL INFORMATION (Non water based) This confidential report is intended to assist the school and supervising teachers to prepare for the excursion and to provide the best care for your child. Student’s Name: Date of birth: Parent’s/guardian’s full name: Address: Postcode: Emergency telephone: After hours: Business hours: Name of family doctor: Telephone: Medicare Number: Number: ______ Private Medical/Hospital Insurance ________________________ Please circle if you child suffer from any of the following: Heart condition Sleep Walking Travel Sickness type Black outs Dizzy Spells Migraine Bed wetting Other (please provide adequate information) Do they have Allergies to: Penicillin YES / NO Other drugs (please provide adequate information) Any foods Other allergies Asthma Fits of any What special care is recommended? Tetanus immunisation Last immunization was on Tablets and medicines Is your child presently taking tablets and/or medicine? If YES, please state name of medicine and dosage YES/NO Arrangements for safekeeping and handling of medicines are to be made prior to the excursion. Consent to medical attention Where it is not practical to communicate with me, I authorize the teacher in charge of the excursion to consent to my child receiving such medical treatment as may be considered necessary. Signed: (Parent/Guardian) Date:
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