Education Outside the Classroom - Blanket Consent 2024

Tēnā koutou 

This Education Outside of the Classroom (EOTC) form is to request consent for your child to participate in EOTC events which occur during the course of a school day, on-site or in the local area, and at a low risk level. Example events include: cross country & triathlon (onsite), weeding or planting in our wetland area (not entering the water), day trips to local areas (excluding water based activities) - eg. tramping, sporting events (offsite), visiting the trout centre, library, fire station. These events will be managed according to the school’s safety management procedures for such events. Information will be communicated about these events but your consent will not be requested. If you have any questions or concerns about your child’s participation at any time please do not hesitate to contact the school.

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 our seeking any further consents you will also be asked to update the health and contact information held by school. 

It is important that this form is completed at the start of the year for all ākonga who will be participating in EOTC events (as described above). Details on this form will remain confidential to school staff, contractors and volunteers associated with supervising activities on EOTC events. It is crucial that you provide us with up-to-date information, that is accurate and complete, to allow us to plan appropriately for EOTC. 

Please ensure that ākonga details such as health information and emergency contacts are kept up to date with the school office during the year.

Please complete all sections of this form by Friday 23rd February.

If you have any questions, please contact me via the information below.

Ngā mihi nui,


Shirley Bailey

Principal | EOTC Coordinator 

shirleyb@kuratau.school.nz 

07 386 5801


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Privacy Statement
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.
Ākonga | Student Name *
Ākonga | Student Class in 2024 *
Caregiver Name (who is completing this form) *
Caregiver Email Address *
Caregiver's Mobile Phone Number *
SWIMMING IN THE SCHOOL POOL CONSENT
This consent will ONLY be used to cover your child swimming at school in the school pool.
Water competence for activities on, in or around water (please tick those that apply) *
Required

Any other relevant information we should know about your child’s water competence or swimming ability:

MEDICAL AND SUPPORT CONSENT
In an emergency the school may act on my behalf
 *

Should my child require pain management the school may administer pain relief, as indicated on their enrolment form.

 *
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.
 *

If my child has extra support needs, I have informed the school and have been involved in the individual support planning for this activity to be successful for my child.

 *
I will inform the school as soon as possible of any changes in the medical conditions, or other circumstances, of my child.
 *
I agree to my child receiving any emergency medical, dental, or surgical treatment, including anaesthetic or blood transfusion, as considered by the medical authorities present.
 *
Any medical costs not covered by ACC or a community service card will be paid by me.
 *
PARENT / CAREGIVER CONSENT 

I agree to my child taking part in EOTC events. I acknowledge the need for them to behave responsibly.

 *

I have read the EOTC activities information covered by the blanket consent, and I understand the specific risks associated with involvement in these. 

 *

I understand that these risks cannot be completely eliminated. 

 *

I understand the school will identify any foreseeable risks or hazards and implement effective management procedures to eliminate or minimise those risks.

 *

I know that I am able to ask any questions of the school about the activities my child 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 they may withdraw from the activity if they feel at risk. This must be done in consultation with the person in charge. 

 *

I understand that the school will encourage all ākonga to participate to their full potential, and for some ākonga a support plan will be implemented following discussion with whānau to achieve this.

 *

I understand that behaviour will be monitored and supports put in place to promote the full participation of all ākonga.

 *

I understand that my child will be involved in the development of safety procedures. I will do my best to ensure that my child follows these procedures.

 *

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, they will be sent home at my expense.

 *

I understand that the school does not accept responsibility for loss or damage to personal property (either my child’s property or damage to other’s property caused by my child) and that it is my responsibility to check my own insurance policy. 

 *
I understand that by completing this form online, I am consenting to my child participating in Education Outside  the Classroom that is covered by this blanket consent.  *
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