Where an event involves risk exposure greater than what would typically be the case at school, such as adventurous activities, hazardous environments or the event continues overnight, specific consent will be required. At the time of seeking further consents, you will also be asked to update the health and contact information held by the school.

It is important this form is completed by whānau at the start of the school year for their akongā to be able to participate in EOTC events. The details provided by you on this form remain confidential to school staff, contractors and volunteers who supervise activities on EOTC events held. All information provided must be accurate and completed in full, so we are able to plan appropriately for EOTC events.

We do require you to ensure that all health information and emergency contacts are kept up to date with Student Services throughout the year.

Privacy Statement: Please note: the personal information being collected on this form is for the purpose of running EOTC events. It won’t be used or disclosed for any other purpose except in accordance with the Privacy Act 2020. You have the right under that Act to access and seek correction of the information from the school.

To be read and signed by all participating students.

• I understand that any EOTC event is an opportunity for me to learn, practise skills and gain attitudes and values in an environment outside the classroom.
• I realise that this requires me to take on genuine responsibility for my own learning and the safety and that of myself and others.

I agree to do the following to make this happen:

• Show courtesy and consideration for others; Follow the rules and instructions of staff and other supervisors at any event; Take part in all activities within challenge-by-choice options; Look after myself and my personal belongings; Declare medical conditions that could affect participation in the event; Accept the rules set by the school for any event.

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

• My actions contravene school rules and significantly impact on the safety and wellbeing of myself and/or others.

In an emergency school may act on my behalf

• School may administer pain relief
• I agree that if prescribed medication needs to be administered, a designated adult will be assigned to do this. I will ensure that prescribed medication is clearly labelled, securely fastened and handed to the designated adult with instructions on its administration.
• I will inform Southland Girls’ High School as soon as possible of any changes to my child’s medical requirements and/ or conditions that may affect their participation in EOTC events.
• I agree to my child receiving any emergency medical, dental, or surgical treatment, including anaesthetic or blood transfusion, 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.