Kuluin State School eNewsletter

Excursion Consent Form - Year 1H and 1V Maroochy High Drama Performance

Privacy Statement

The Department of Education is collecting the personal information in this form in order to:

- obtain consent for the named child/student to participate in the excursion;

- help coordinate the excursion;

- respond to any injury or medical condition that may arise during or as a result of the excursion; and

- update school records where necessary.

The information will only be accessed by authorised departmental staff. The information will not be disclosed to any other person or agency unless we have your consent or we are required or authorised by law to do so e.g. in compliance with relevant Queensland Chief Health Officer’s Directions.

Dear Parents,

The Maroochy High Drama class visited our classrooms on Monday 17^th October to gather information about our students likes and interests. The High School students will then spend the term preparing drama performances to entertain our students.

On Monday 28^th November at 9am, the Maroochy High buses will come and collect us and take us to the High School to watch their performances and we will return to school by First Break.

There is no cost for this excursion, but permission is required if you would like your child to come along to watch the performances.

Students are to wear their school uniform. We will be back at school in time for lunch, so we do not need to take any food or drink with us. The students will be supervised by their classroom teachers and aides. Students will be watching the drama performaces and not participating, so the risk level is very low for this excursion. However, we will still require parent permission for your child to attend.

Student Code of Conduct

Thank you

Deb Hutchins and Vanessa Barillaro (Classroom Teachers) Kelly Ayres (DP)

Student First Name *

Student Last Name *

Roll Class *

Activity risks and insurance *

By signing this form, I agree to all the following statements:

I have read all of the information contained in this form in relation to the excursion (including any attached material)
I am aware that the department does not have personal accident insurance cover for children/students.
I give consent for the named child/student, to participate in the identified excursion.
In the event of an accident or illness, school staff may obtain or administer any medical assistance or treatment the child/student may reasonably require, including contacting their doctor.
I accept liability for all reasonable costs incurred by the department in obtaining such medical assistance or treatment (including any transportation costs) and undertake to reimburse the department the full amount of those costs.
I have provided the school with all relevant details of the child/student’s medical or physical needs on registration/enrolment and where relevant have updated this information.
I give consent for child/student contact information to be shared in relation to this excursion in compliance with relevant Queensland Chief Health Officer’s Directions.

Additional medical information - The school collected medical information about your child at registration/enrolment. This information is stored electronically in OneSchool. Please give full details of any new or updated medical information which may affect your child’s full participation in the excursion described in the form.

Parent/Carer Name *

Phone Number *

Email *

Parent Signature *

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Clear

Write your signature above the line

Date *