Student Health and Payment Form – Economics Trip Wellington, 13 June 2024

Please only complete this form if your child is attending the Y13 Economics Trip to Wellington from 13-15 June 2024.

If you have any questions regarding this form, please contact Mr Michael Bishop, michael.bishop@southlandgirls.school.nz or 03 2116030.

"*" 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*
Students Medical Information:*
I give permission for this information to be shared with the teacher in charge as required.
Medical Conditions
If you child is taking any prescribed medication please list below
Is there any medication your child is NOT able to be given?
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).
If your child has any allergies please list below
Can your child confidently swim 20 metres?
Special Access Arrangements
Outline any special dietary requirements. Please be specific, eg: vegetarian, lactose intolerant, etc
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*

Payer Details

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

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.
Full cost is $790.00 less $50 non refundable deposit already paid. Total owing $740.00
Payment Options*

Book a Tour of Enwood House

Come and see all that Southland Girls’ High School offers boarders with a tour of Enwood House that allows you to see our facilities in action, while meeting the staff and the students.

To book in for a tour of the boarding house, please email Jenni Dennis, jenni.dennis@southlandgirls.school.nz or telephone 03 211 6030.

RISKS Disclosure

Weekly sports contains risks, including common injuries like strains, sprains, bruises and dislocations. These events are managed by the appropriate sporting body in conjunction with school staff who will manage risk and hazards according to the school’s safety management plan. This includes careful consideration of the risks, all risks will be outlined to the students. 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 ashleigh.rabel@southlandgirls.school.nz.

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 your child facing disciplinary actions on their return or sent home at the cost of the Whanau/parents or caregivers.

RISKS Disclosure

This event contains risks, including possible injuries. This event is managed by school staff or other organisations who will manage risk and hazards according to the school’s/organisation’s safety management plan. This includes careful consideration of all procedures while carrrying out the activites. 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 please phone 03 211 6030.

STUDENT CODE OF CONDUCT

I understand that playing sport is an opportunity for me to learn, practice skills, and gain attitudes and values in an environment outside of the school.  I realise that this requires me to take on genuine responsibility for my own enjoyment and safety and that of others.

I agree to do the following to make this happen:

  • Show courtesy and consideration to others.
  • Follow the rules and instructions of staff and other supervisors at the events.
  • Look after myself and my personal belongings.
  • Declare medical conditions that could affect participation in the events.
  • Accept the rules set by the school for the events.

I understand that my parents / caregivers will be contacted and I may be sent home at their expense if:

  • My actions are considered unacceptable by staff / supervisors of these events.
  • I breach the behaviour / discipline standards of the school.
  • My actions put me or others in any danger.

Book a School Tour

Come and see all that Southland Girls’ High School offers students with a school tour that allows you to see our facilities in action, while meeting the staff and the students.

Student tour guides will answer questions and offer a student’s perspective, before meeting with a senior member of staff to discuss your child’s enrolment.

To book in for a tour of the school, please email Nicola Macpherson on  nicola.macpherson@southlandgirls.school.nz or telephone 03 211 6030.

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