Year 5/6 Camp - Campaspe Downs

Students in Year Five and Six will be attending camp at Campaspe Downs in Term 4. The following information is required for teachers to be aware of your child's needs. Please complete this and submit it by Monday 19th September 2022 to enable teachers to ensure they have accurately catered for the needs of your child.

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Email *
Personal Information:
Please provide us with some information so that we can identify you and your child.
Please enter your email address *
Please select you child's class *

Please enter your child's full name (first name, surname)

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Please enter the full name of the parent/carer completing this form (first name, surname)

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Are you an Ambulance Victoria member? 
Please answer 'yes' or 'no' and provide subscription number.
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Please provide us with your regular GP's name, address and contact phone number below. *
Student Wellbeing:
Every effort will be made to ensure your child feels cared for while on camp. Please remember part of being on camp is to allow students to build resilience and at times they may be presented with feelings that are uncomfortable. The 'challenge by choice' philosophy welcomes this as it develops self regulation skills. No student will be made to participate in an activity if they do not wish to.
Are there any significant events/anniversaries which will occur whilst your child is attending camp (eg: birthdays, etc)? If so, please provide details.

Please provide any additional wellbeing details which you feel would be beneficial for school staff to be aware of. (You need not provide details of any existing information that staff are already aware of)

Is this your child's first time away from home? *
Medical Information:
The following information is confidential and required to determine the needs of your child while on camp.

In addition to the medical details listed within Compass, is your child currently experiencing any of the following (please select all relevant):*

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Required

In addition to the medical details listed in Compass, is your child currently experiencing any medical condition which was not listed in the previous question? If so, please provide details, if not please mark as N/A

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Medication:

All medication must be given to the teacher-in-charge. The medication must be labelled with your child’s name, the dose to be taken as well as when and how it should be taken. Medications should be sealed within their original and labelled packaging.Student medications will be kept by the staff and distributed as required. Inform the teacher-in-charge if it is necessary or appropriate for your child to carry their medication (for example, asthma puffers or insulin for diabetes).  A child can only carry medication with the knowledge and approval of both the teacher-in-charge and yourself.

Do you intend to provide your child with any medications to be administered whilst at camp? If so, please provide details, if no please mark as N/A

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Has your child been diagnosed with Asthma?

Students who have been diagnosed with Asthma will be required to send a copy of their Asthma plan along with medication to hand it to the teacher-in-charge on the departure day of camp. All Asthma plans will need to be current and include a signature from a Doctor. 

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Does you child suffer from Anaphylaxis? Please list details and triggers, if no please mark as N/A.

Students who have been diagnosed with Anaphylaxis will be required to send a copy of their Anaphylaxis plan along with relevant medication to hand it to the teacher-in-charge on the departure day of camp. All Anaphylaxis plans will need to be current and include a signature from a Doctor. 

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Food:

Students at camp are encouraged to try foods and flavours they may not have eaten before. No student is forced to eat something that they do not wish to eat, however the alternatives may be limited. We understand that due to religious or cultural reasons some students will require alternative meals to those generally offered and this needs to be planned in advance.

Does your child have any dietary requirements? (eg: vegetarian, vegan, gluten-free, yeast-free, dairy-free, etc). If so, please provide details.

Are there any foods which you are strongly against your child eating? If so, please provide reasoning.

You are all done!
Thank you for completing the medical form.
Regards, Zoe Overdyk, Llewela Humpheries, Melissa Woollard.
A copy of your responses will be emailed to the address you provided.
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