Parent's Ski Trip

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Parent's Ski Trip

School Ski Trip to Porters Ski Field on Tuesday 2nd August 2022. The Ski trip risk management and details are on the school website. If you wish to attend please fill complete all answers below. Please complete the forms by Friday 24th June and payment by Friday 1st July . If you would like to arrange a payment plan contact Carol in the office and we will work something out. office@westeyreton.school.nz

Name

Doctors Name and phone number

First Emergency Contact Details Name and Number

Second Emergency Contact Details Name and Number

I have read the RAM and understand that there is are risks associated with involvement in school EOTC events and that these risks cannot be completely eliminated. I understand that the school will identify any foreseeable risks or hazards and implement correct management procedures to eliminate, isolate or minimise those hazards.

Yes

Clear selection

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.

Yes

Clear selection

Will you be partaking in

Skiing

Snowboarding

Not skiing /snowboarding but I am available to assist at the Skiing event

Clear selection

What level of skiing/snowboarding are you?

Level 1 - My first time, never skied or snowboarded before

Level 2 - I have skied/snowboarded before on the carpet lift only

Level 3 - I can confidently turn and stop and have skied/snowboarded less than 5 times

Level 4 - I can ski/snowboard on the chair lift in control

Level 5 - I can ski/snowboard on the chair and T-bars in control

Level 6 - I can confidently ski/snowboard black diamond runs

Other:

Clear selection

What type of lift pass do you require?

Beginners Area - levels 1,2 and 3

Full Mountain - levels 4,5 and 6

Have own Porters Season Pass

Other:

Clear selection

Do you require rentals of

Skis/boots/poles

Snowboards/boots

Other:

Clear selection

If hiring, please provide height

If hiring, please provide Weight

If hiring, please provide Shoe Size

Do you require additional rental equipment

Helmet

Goggles

Pants

Jacket

Other:

Clear selection

Travel Arrangements are you able to take other children, you will be responsible for these children all day. Please state how many extra you are able to take?

Do you have any of these medical conditions?

Migraine

Epilesy

Asthma

Diabetes

Travel sickness

Chronic nose bleeds

Fits of any type

Heart conditions

Dizzy spells

Colour blindness

Other:

Clear selection

Are you currently taking any current medication, please state name of medication, dosage/times to be taken

Have you had any major injuries(breaks or strains) or illnesses(glandular fever) etc in the last six months that may limit full participation in any activity?

Yes

Other:

Clear selection

Are you allergic to anything, ie prescription medicine, food, bites/stings and other

Date of last Tetanus injection?

To the best of my knowledge, have you or your child been in contact with any contagious or infectious diseases in the last 4 weeks?

Yes

Clear selection

I will inform the school asap of any changes in medical or other circumstances.

Yes

Clear selection

I understand that any medical costs not covered by ACC or a community service card will be paid by me.

Yes

Clear selection

As a volunteer on this event

I am willing to comply with requests of staff and will follow safety procedures set

I will take reasonably care that my behaviour does not adversely affect the health and safety of myself and others.

I am willing to assist in aspects of running the event according to the role I have been asked

I agree that there is no place for alcohol or non-prescribed drugs on a school ETOC event

I accept the terms of my involvement as stated above.

Other:

Clear selection

I agree to pay the full cost of the trip by no later than Friday 1st July 2022

Yes

Clear selection

Submit

Clear form

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