Year 0 - Year 2 Camp Consent 2021
This form includes overall camp consent, emergency contact, medical and dietary information.
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Email *
Student's name: *
Whānau Teacher *
I give consent for my child to attend the Year 0-2 camp. *
Required
Please tick all appropriate options below regarding your child's medical conditions. *
If you tick any of the options below, please give further details in the next question.
Required
If your child has any medical conditions, please give further details.
Please tell us of any medication your child will / may need to take.
Be as specific as possible about times, quantities etc.
Do we have permission to give your child Pamol (pain relief for children) at an age-appropriate dosage, if necessary? *
Pamol will only be administered if needed and recommended by a teacher. If consent is not given on this form, we will endeavour to contact you for permisssion if required. If permission is not given, we will not administer Pamol to your child.
Please tell us of any particular dietary requirements your child has. *
For example any food they cannot eat for medical or religious reasons.  
Please fill in daytime and/or mobile phone numbers for two parents or caregivers. *
Please fill in an additional emergency contact name, relationship to child and home and/or mobile phone number. *
This contact should not be a parent or caregiver and may be used in the event that a parent or caregiver cannot be contacted.
Please indicate if you would like to be part of the overnight camp as additional parental help. *
We only have a limited number of places for additional adult support, so we cannot guarantee you will be able to attend the camp but we are very grateful for all support offered. We are looking for the following characteristics from any parental support on camp:                                                                                                                                                                                                           1) Someone who is able to be actively involved in all camp activities and is not afraid of hard work.                                                                                  2) Someone who is supportive of the school in general, and able to positively support the teachers on the camp.                          3) Someone who understands that the teachers are in charge on the camp, and is willing to take instructions from teachers, where necessary.                                                                                                                                                                                            4) Someone who is able and willing to assist all students on the camp, not just their own child.                                                         5) Someone who has at least one dose of the COVID-19 vaccine.                                                                                                                                                              6) Someone who is happy to be police vetted by Amesbury school.                                                                                                                 7)Someone who is able to stay overnight at school.                                                                                                          
Name of parent who would be staying overnight:
If you would like to attend the camp and have additional comments about this, please add them below.
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