Dolphin Marine Conservation Park

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Dolphin Marine Conservation Park - Authorisation form

Dates of Excursion: Wednesday 22nd September

Excursion address/ location: 65 Orlando St, Coffs Harbour NSW 2450

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: 9.30am Expected Return Time: 12:15pm

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: 21

Educator to child ratio: 1:7

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 Dolphin Marine Conservation Park.
The children will get off the bus and make their way into Dolphin Marine Conservation Park. The children will enjoy everything penguin! Visit Penguin Shores and EXPERIENCE the world’s smallest species of penguin – Little Blue Penguins. The conservation team will introduce the children to the unique personalities of these delightful creatures. Then we will move onto hear the Dreamtime story from local Gumbaynggirr elder and experience the cultural significance of marine mammals in our environment.
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 be involved in any and all aspects of the Dolphin Marine Conservation Park excursion *

Yes

I acknowledge that my child/ children will be participating in an excursion near large bodies of water. I am aware that MHOC OSHC staff & the Dolphin Marine Conservation Park staff will NOT allow my child/ children to enter the water and all precautions will be taken to ensure their safety, at all times. *

Read and understood

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 and 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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