Spring Loaded - Authorisation Form

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Dates of Excursion: Thursday 23rd & Thursday 30th September

Excursion address/ location: 600B Hogbin Dr, Toormina NSW 2452

Contact number: 0459 030 941 Contact the MHOC Out of School Hours Care mobile and they will contact the excursion group, as required.

Expected Departure Time: 9.45am Expected Return Time: 11:15am

Method of Transport: Mary Help of Christians 22 seater School Bus. The Bus is fitted with standard approved seat belts & has the capacity to cater for booster seats/ child restraints, if required.

Anticipated number of children attending the Excursion: 30

Educator to child ratio: 1:12

Number of additional Volunteer or Support staff: 1

Cost: $15.00 additional cost, included in the daily charges.

Excursion Details:
The children will have a safety discussion at MHOC OSHC. MHOC OSHC wrist bands will be put onto every child. Then the children will board the bus (a head count will be conducted onto and off the bus) and they will enjoy a bus ride to Spring Loaded.
The children will get off the bus and make their way into Spring Loaded and have one hour of ALL ACCESS play - trampolines, foam pits, ninja style obstacle courses, parkour zones, gymnastics beams, bars & so much more. Then the children will board the bus for the return trip to the Service (a head count will be conducted onto and off the bus) .

A comprehensive risk assessment has been conducted prior to the excursion and is available for parents / guardians to view upon request.

All staff attending have verified WWCC and at least 1 x MHOC OSHC staff member on this excursion has current First Aid qualifications

Email *

Child/ Children's Full Name (If you add more than 1 child - the authorisations will be used for the children listed below) *

Parent/ Guardians Full name *

I herby give my child permission to attend Spring Loaded excursion *

ATTENDING - Thursday 23rd September ONLY

ATTENDING - Thursday 30th September ONLY

ATTENDING - Both dates 23rd & 30th of September

I am aware my child/ children will be travelling in the MHOC School Bus and a seat belt will be provided. I acknowledge that I can contact the excursion group at any time by calling 0459 030 941 *

Read & understood

I acknowledge that a risk assessment has been completed and is available upon request. Please provide a correct date as acknowledgement. *

YYYY

Please indicate if your child has any medical concerns that may impact their full participation in the excursion e.g. Yes, No or further comment. *

Emergency Contact Name & Contact Number *

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