Planning of Excursions

Gisborne Secondary College Melton Rd Gisborne / P O Box 57, Gisborne Victoria 3437 EXCURSION Tel 03 5428 3691 Fax 03 5428 4018 Email: PERMISSION FORM [email protected]

Dear Parent/ Guardian,

As part of the Neighbourhood Curriculum, students at times will be required to complete some activities off campus. Such activities will include walking the perimeter of the school and walking around local venues and facilities. As this could occur on numerous days and may be dependent on weather conditions, we are asking your permission to, on occasion, take your child off school premises during schools hours. Staff members taking groups of students down the street will ensure that they have the appropriate first aid supplies. It is the responsibility of the students to bring their appropriate asthma pump and epipen if required. Please fill in the permission slip below and return it to your mentor teacher.

Lainey Carr Learning Neighbourhood Leader [email protected]

 This Form Is To Be Completed In Full, Then Signed By The Parent Or Guardian And Returned To The School Before The Excursion Takes Place. Students Cannot Be Taken On An Excursion Unless This Form Has Been Returned.  Students Not In Correct School Uniform May Be Excluded From Excursions and a refund will NOT be given.  Refunds will NOT be given unless a medical certificate is provided.  PLEASE NOTE: On days of TOTAL FIRE BAN, restrictions may be placed on excursions at the discretion of the Principal. If an excursion does not go ahead all efforts will be made to reschedule, however refunds may not always be possible. Please retain this top portion for your information Details Of Local Gisborne Area Year & Mentor: Year 7 Excursion: Teacher in College Uniform YES Charge Required: Date: Various Time of Various Time Of Various Departure: Return: Mode Of Walking Cost: Nil Transport:

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THIS SECTION MUST BE COMPLETED BY PARENT / GUARDIAN This portion will be retained at the College

Details Of Local Gisborne Area Class: Year 7 Excursion: Student Name: Year Level & Year 7 Mentor: I give permission for the above-name student to attend the excursion. I have completed the next section, authorising the teacher in charge to consent to the student receiving medical or surgical treatment if it is impractical to communicate with the parent / guardian. Parent Parent Name: Signature Phone contact on day of Dat excursion: e: ------THIS SECTION MUST BE COMPLETED BY PARENT / GUARDIAN This portion will be taken on the excursion

Student Year Level & Mentor: Name: I give permission for the above-name student to attend the excursion. I understand that the college does not have an insurance policy covering injury to students whilst at school or on school excursions. In the event of illness or accident, I authorise the teacher in charge of the excursion to consent, where it is impracticable to communicate with me, to the child receiving such medical or surgical treatment as may be deemed necessary. Parent Parent Name: Signature Phone contact on day of Dat excursion: e: