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EOTC Parental Consent and Risk Disclosure
To be distributed with full information details of the events in the course.

It is important that this parental consent and risk disclosure form and the health profile are completed by all adult and learner participants in the Education Outside The Classroom (EOTC) experience, to comply with College health and safety requirements. The purpose of this form is to enable the school to ensure that optimal staffing levels are provided, the specific needs of participants are met and the educational value and safety of events is maximised.
Details on this form will remain confidential to school staff, contractors and volunteers associated with supervising activities on the EOTC experience. For safety reasons, please provide us with information that is accurate and complete.
A separate health profile for medical information and swimming ability must be completed for each person attending events. This can be completed online www.wgpcollege.school.nz

Acknowledgment of risk

  • I have read the EOTC event information sheet and I understand that there are risks associated with involvement in school EOTC experiences and that these risks cannot be completely eliminated. I understand that the College will identify any foreseeable risks or hazards and implement correct management procedures to eliminate, isolate, or minimise those hazards. I understand that my child has been involved in the development of safety procedures. I will do my best to ensure that my child and I follow these procedures.
  • I know that I am able to ask any questions of the College about the activities that my child or I will be involved in, to gain a better understanding of the risks involved. I recognise that participation in such activities is voluntary and not mandatory. My child and I both understand that he/she/I may withdraw from the activity if he/she/I feel at risk. This must be done in consultation with the person in charge.
  • I understand that the school does not accept responsibility for loss or damage to personal property and that it is my responsibility to check my own insurance policy.

Parental consent

  • 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 labeled, securely fastened and handed to the designed adult with instructions on its administration
  • I will inform the College as soon as possible of any changes in the medical or contact details as stated on my child’s health profile completed online.
  • I agree to my child/myself receiving any emergency medical, dental, or surgical treatment, including anesthetic 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.
  • If my child is involved in a serious disciplinary problem, including the use of illegal substances and/ or alcohol, or actions that threaten the safety of others, s/he will be sent home at my expense.
  • I agree to my child/myself taking part in the EOTC experiences in this course and have read the course information sheet and completed the health profile online.
  • I acknowledge the need for my child/me to behave responsibly.

To be read and signed by adult participant or parent/caregiver of learner.