South Island Secondary Schools Rugby 7s Cup 

Date: 31 October – 1 November

Accommodation: Farmyard Holiday Park, 22/50 Elmslie Rd Geraldine

Transport: The team will travel to Geraldine via a Go Bus hire vans and school vans the day prior to the competition commencing and will return after their last game of the tournament.

Clothing and equipment: SGHS rugby jersey, SGHS rugby shorts, mouthguard, rugby boots, SGHS rugby socks, SGHS warm up top, navy trackpants, SGHS jacket for travelling and games. As well as casual clothes and personal items

Venue: Games will be held at Geraldine Rugby Park

2025 Condors National 7s Tournament 

Date: 26 November – 30 November

Accommodation: Harbourview Motel and Apartments

Transport: Air NZ flights Wednesday 26 November and return Sunday 30 November and hire vans

Venue: Blake Park

This event contains risks, including those associated with travel e.g. flying and the use of public and private transport, injuries associated with the sport of rugby such as soft tissue and impact injuries such as broken bones, strains and concussion, and accidents that could happen during their daily activities e.g. falls, cuts and knocks.  This event is managed by school staff who will manage risk and hazards according to the school’s safety management plan.  This includes careful adhering to the itinerary, ensuring that all safety precautions are followed in accordance with the law, and appropriate supervision and monitoring of the entire group well-being.  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 Ashleigh Rabel 03 211 6030 or [email protected]

It is important for safety reasons that students follow instructions given to them by SC Rugby, referees and team coach 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 your daughter facing disciplinary actions on their return or sent home at the cost of the whānau/parents or caregivers.

Please complete the permission form below by Friday 24 October 2025.

"*" indicates required fields

Student Information:

The information on this form will remain confidential to the teachers/instructors in charge of/assisting with the camp/trip. However, in the interests of the safety of all involved, any life-threatening conditions may be made known to other students. Please be assured that your child’s physical and emotional well-being always remains of paramount importance to us.

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

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 you 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/llnesses

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

Visual Concerns

Mobility Issues

Hearing Issues

Other

Dietary Requirements

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

Transport*

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

Yes, I give permission (Transport)

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

Parent/Caregiver Consent:

Please tick the boxes below to complete the Parent/Caregiver consent.

Parent Consent*

I give my child permission to participate in SISS Rugby 7s and Rugby 7s Condors Tournament

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

My child's medical information is up to date with Student Services

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.

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 service card will be paid by me.

First Name

Last Name

Parent/Caregivers Email*

Parent/Caregivers Mobile*

Parent/Caregiver Signature*