Wynyard High School eNewsletter

I have read the excursion letter and I give permission for my child to travel by bus/car to the required destination.

Quad Bike Unit - Tuesday, 19 August 2025

Only the fields marked with (*) are required to be filled in

Date: As per excursion notification

Time: As per excursion notification

Location(s): As per excursion notification

Brief Descriptions: Excursions, Camps, Carnivals (including Swimming and Surf Carnivals)

Teacher(s) in charge: All Staff

Parent/Guardian Full Name *

Parent/Guardian Email *

Parent/Guardian Mobile *

Student Personal Details

Student Full Name *

Date of Birth *

Year Level *

Address

Street 1 *

City *

Postcode *

Student Class

Emergency Contact Details

Emergency Contact - Name *

Emergency Contact - Relationship *

Emergency Contact - Number *

Other Emergency Contact Details (if required)

Medical Details

Doctor - Name

Doctor - Number

Doctor - Address

Medicare Number

Medicare Position Number

Private Health Fund & Number

Is your child taking any tablets and/or medicine? *

Yes

If Yes, please state name of medication, dosage, etc. and answer the following two questions:

Q1: Have you completed and Administration on Medication Authorisation form?

Yes*

Q2: Has your Doctor/Pharmacist/Practice Nurse completed and Administration of Prescribed Medication Authorisation?

Yes*

*The completed authorisation forms must be sent in to the office ASAP

*Please indicate if (and what) your child is allergic to:

	Information
Any drugs (including Penicillin)
Foods (e.g. nuts)
Any other relevant information

Consent Form Information:

In the event of accident or illness when it is impracticable or impossible to communicate with me, I authorise the teacher(s) in charge or their delegate to:
• Consent to such medical or surgical treatment as may be deemed necessary
• Administer such first aid as may be judged to be necessary.

Participation:

I consent to my child’s participation in this excursion. I have been fully informed by the school of the arrangements made for the conduct of this excursion. I understand that the excursion includes activities that may involve some risk as set out in the excursion description/attached excursion itinerary and information.

Expenses:

I agree to my child returning home if necessary, in the event of illness or injury, and to pay any expenses involved or to come and collect my child from the excursion.
I acknowledge that during the excursion, acceptable standards of behaviour will be expected of the students.
I understand that my child may be sent home in the event of serious misbehaviour during the excursion. I further understand that in such circumstances I will be informed and that any costs involved will be my responsibility.
I agree to reimburse the school for any wanton damage caused by my child.
I agree to reimburse the school for any hospital, medical or ambulance expenses incurred by the school on behalf of my child.

Informed Consent *

I understand that by ticking this box I am agreeing to the information contained in this eForm, and I give permission for my child to attend these major excursions. I agree to supply the school with any changes to my child's medical information

Signature *

Undo

Clear

Write your signature above the line

Signed Date *

Personal Information Protection Statement

Personal information will be collected from you for the purpose of obtaining student details and will be used by the school/ college and the department for managing school excursions. Failure to provide this information may result in your child being unable to attend the excursion. Personal information will be used for the primary purpose for which it is collected and may be disclosed to health care and emergency services in the case of an emergency. Personal information will be managed in accordance with the Personal Information Protection Act 2004 and may be accessed by the individual to whom it relates on request to the Principal. You can obtain a copy of the Department of Education’s Personal Information Protection Policy on request to Wynyard High School or on the Department of Education website at: http://www.tas.gov.au/stds/pip.htm

Quad Bike Unit - Permission Form