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Camp permission form


​​The Department of Education, through Yandina State School, is collecting personal information in accordance with Education (General Provisions) Act 2006​​​ in order to maintain student permission records. The information will only be accessed by Department of Education. The information will not be given to any other person or agency unless consent is provided. ​​

  • Child’s name
  • Class
  • Excursion/camp name
  • Excursion/camp date
    Select a date from the calendar.
  • Payment
  • Medical permission
    In the event of an accident or illness, I authorise school staff to obtain or administer any medical assistance or treatment my child may reasonably require, including contacting my child’s doctor.
  • Refund
    I understand that if my child is unable to attend the excursion/camp no refund will be provided unless a medical certificate is provided.
  • Activity risks insurance
    The activity outlined above carries an inherent risk of physical injury occurring. Please note that the Department of Education and Training does not have personal accident insurance cover for students. If your child is injured as a result of an accident or incident, all costs associated with the injury, including medical costs are the responsibility of the parent/carer. Some incidental medical costs may be covered by Medicare. If you have private health insurance, some costs may be also be covered by your provider. Any other costs must be covered by parents/carers. It is up to all parents/carers to decide what types and what level of private insurance they wish to arrange to cover their child. Please take this into consideration in deciding whether or not to allow your child to participate in this activity. I understand and acknowledge the above.
  • Activities to be undertaken
    I understand that the activities outlined in the information letter will be conducted by staff at the camp and/or Yandina State School staff, they involve a high level of physical activity and are predominantly outside activities.
  • Behaviour
    I understand that if my child demonstrates behaviour that is not responsible, they are a danger to themselves, other participants and the success of the program or my child refuses to abide by set responsibilities I shall be contacted. I understand my child may need to return to school or home and I am responsible for their transportation from the camp/excursion location.
  • Agreement
    I understand that by submitting this form I give consent for my child to participate in the activities as detailed in the information letter, some of which are considered high risk.
  • Parent/Carer name
  • Date
    Select a date from the calendar.