We are very excited that our talented young actors have won the Sheilah Winn Shakespeare Regional Competition; it was a well deserved placing as they have shown commitment and passion in the preparation and performance of the scene from ‘Twelfth Night’.

This means that the group has been selected to attend the National Sheilah Winn Shakespeare Competition in Wellington. The festival will be held over King’s Birthday weekend at various venues in Wellington, including Victoria University, Wellington East Girls’ School and St James Theatre. The weekend will consist of theatre workshops and the performances, from which the finalists will be selected for the finale. One fortunate young actor will also be selected to attend the Globe Theatre in London.

Dates: The plan is to leave early on Friday 30^th May after the Senior Production finishes on the 30^th May and return on Monday 2^nd June.

Transport: Flights and accommodation TBC

Clothing: Full winter school uniform

Venues: Victoria University, Wellington East Girls’ School and St James Theatre

Accommodation: Cambridge Hotel, 28 Cambridge Terrace, Wellington 6011

Cost: $350.00. There will be some funding available from a generous grant from ILT but depending on the cost of airfares and accommodation, there may need to be some fundraising to meet any shortfall and spending money for snacks and food.

This event contains risks, including negotiating the streets of Wellington and risks involved in flying and performing in public spaces. This event is supervised by school staff who will manage risk and hazards according to the school’s safety management plan.  This includes careful planning, following the itinerary and instructions. 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 Ms Sophia Dommisse on 03 2116030 or [email protected].

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 not being allowed to attend future trips.

Please pay and complete the permission form by 16 May 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)

Transport Information:*

I give permission for child to be transported on this trip by the teacher in charge or bus company.

Yes (Agree to my child being transported)

Medical Conditions

Migraine

Diabetes

Chronic Nose Bleeds

Colour Blindness

Epilepsy

Travel Sickness

Heart Condition

Anaphylaxis

Bedwetting

Asthma

Seizures of any type

Dizzy Spells

Sleepwalking and or Sleeptalking

Home Sickness

Medication

If you child is taking any prescribed medication, dosage and times to be taken 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

Water Competence for activities on, in or around water. (please tick those that apply)

Providing this information does not remove the need for group leaders to ascertain for themselves the level of the student's swimming/water competence ability.

My child is a non-swimmer (unable to float or move themselves through water)

My child can confidently and competently swim 25 metres

My child can confidently and competently swim 50 metres

My child can confidently and competently swim 200+metres

My child is confident in deep water

My child is able to tread water for 2-3 minutes

My child is able to survival float on their back for 2-3 minutes

My child is safety conscious in and around water

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

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 the National Sheilah Winn Shakespeare Festival

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

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

The School reserves the right not to provide a refund if your child is unable to participate in this activity.

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 service card will be paid by me.

First Name

Last Name

Parent/Caregivers Email*

Parent/Caregivers Mobile*

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.

If your online card payment is unsuccessful we do not receive your permission form, please choose a different payment method and re-submit the form.

National Sheliah Winn Shakespeare Festival

Price:

Total

Payment Options*

Pay Online now by Debit / Credit Card

Cash / Eftpos at Student Services

Automatic Payments (AP)

Bank Transfer