Kiwiburn Bronze and Silver Practice Journey

Details:  Friday 12 September 11am SGHS (This will be at the start of the school day (9am) if there are no students sitting the CAA)

Return: Saturday 13 September 5pm SGHS

Transport: Riverside Rental Van and Enwood Van

Gear List: Click HERE

Cost: $120.00. Please pay and complete the permission form by Friday 15 August 2025

Please note: Board financial procedure requires payment in full, by the due date for your child to purchase resources, participate in sports or attend trips/events. Payments received will be allocated to the oldest unpaid fees and charges owing on your child’s account first. Extra-curricular activities operate on a “pay before you play” policy.

Accommodation: Department of Conservation Hut on the Kiwiburn Track

• Sarah Rabbitt will be in charge with two other staff members to be confirmed
• Cell phones may be brought to take photos and contact home when close to Invercargill

This event contains risks, including certain risks being an outdoors activity.  This event is managed by school staff who will manage risk and hazards according to the school’s safety management plan.  This includes careful planning to mitigate as many risks as practical and to have safety equipment and first aid kit as appropriate to the event. Risks include possible trips or falls along steep ground and exposure to bad weather. This will be mitigated by careful route selection by staff with previous experience on this journey, and ensuring correct clothing is always worn. While risks can be maintained to acceptable levels they cannot be totally eliminated.  Some risk is retained for its learning and experiential value.  If you wish to come in to school to see our safety management systems or have any questions, feel free to contact Sue Mattingly on [email protected] or 03 2116030  if you have any questions or concerns.

It is important for safety reasons that students follow instructions given to them by all staff and follow all appropriate school rules. Behaviour by students that is deemed dangerous and puts themselves and/or others at undue risk will result in parents being contacting and if necessary, parents would need to come and get their child at the parents’ expense.

Please pay and complete the permission form by Friday 15 August 2025

"*" indicates required fields

Student Information:

Please complete the following information for your child.

Student's Full Name*

First Last

Students Date of Birth*

DD slash MM slash YYYY

Student Mobile

Home Phone

Students Medical Information:*

I give permission for this information to be shared with the teacher in charge as required.

Yes (Medical)

Medical Conditions

Please tick if your child suffers from any of the following:

Migraine

Diabetes

Chronic Nose Bleeds

Colour Blindness

Sleep Talking

Epilepsy

Travel Sickness

Heart Condition

Anaphylaxis

Bedwetting

Asthma

Seizures of any type

Dizzy Spells

Sleepwalking

Home Sickness

Medication

If your child is taking any prescribed medication please list below

Medication NOT to be taken

Is there any medication your child is NOT able to be given?

Major Breaks/Illnesses

Has your child had any major injuries (breaks or strains) or illness (Glandular fever etc) that may limit full participation in any activities? (If Yes, please complete in the box provided below).

Allergies

If your child has any allergies please list below

Can your child confidently swim 20 metres?*

Yes

No

Unsure

Special Access Arrangements

Please tick if any of these apply

Visual concerns

Mobility issues

Hearing issues

Other

Dietary Requirements

Outline any special dietary requirements. Please be specific, eg. vegetarian, lactose intolerant etc.

Other Information

Is there any other information that your child's teacher or staff should know to ensure the physical and emotional safety of your child. eg: cultural practices, anxiety, phobia about heights or small spaces, etc.

Transport*

Please indicate below if you give permission for your child to be driven by the named adult member. (If you have any queries in relation to this please contact the Manager of the trip).

Yes, I give permission (Transport)

Parent/Caregiver Information

First

Last

Parent/Caregivers Email*

Parent/Caregivers Mobile*

Parent Consent*

I give my child permission to participate in the Duke Edinburgh Kiwiburn Tramp

My child has read and understands the Student Code of Conduct.

I acknowledge the school policy that states you must 'pay before play/attend' an event/trip or sport.

I acknowledge that full payment is required by the due date specified for my child to be eligible to participate in this event.

I acknowledge that any payments made to my child's account will be allocated to the oldest unpaid fees/charges if any and that my child is not able to participate until all these charges are paid in full.

I acknowledge and accept the Risks Disclosure.

I agree that my child is responsible for managing the taking of her prescribed medication. They are willing and able to manage the medication without direct supervision. A designated adult will hold/carry the medication for safekeeping. The prescribed medication must be clearly labelled and securely fastened. A set of detailed and clearly written instructions must be included.

I am willing and able to pick up my child if they develop any signs of sickness during the event/activity. eg: Covid

I will inform the school as soon as possible of any changes in the medical or other circumstances between now and the commencement of the event.

I agree to my child receiving any emergency medical treatment as considered necessary by the medical authorities present

Any medical costs not covered by ACC or a community services card will be paid by me

Parent/Caregiver Signature*

Payer Details

Payer Name*

First Last

Payer Email*

Please enter a valid email address to receive a emailed version of this form once completed.

Payer Mobile*

Payment

Any payments received for your child will be allocated to the oldest unpaid amounts sitting on your child's account first. Your child is not able to participate until all these amounts are paid in full.

Duke Edinburgh Kiwiburn Tramp Costs

Price:

Total

Payment Options*

Pay Online now by Debit / Credit Card

Cash / Eftpos at Student Services

Automatic Payments (AP)