St John Bosco School

Camp Permission Form ____________________________________ __________________________ M F Child’s Name Date of Birth Sex I give permission for my child to go on the proposed camp to Muru Raupatu. I release St John Bosco School Teachers and Parent Helpers from liability in case of accident during activities related to this trip, as long as normal safety procedures have been taken. ____________________________________ _________________________________ Parents/Guardian’s Signature Date To be read and signed by adult assistant or parent / caregiver of child participant: Parental Consent I agree to my child / myself taking part in the EOTC event and have received sufficient information on which to base a decision. I agree to their / my participation in the activities described. I acknowledge the need to them / me to behave responsibly. Acknowledgement of Risk I have read the EOTC event overview sheet and I understand that there 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. I will do my best to ensure that I / my child follow these procedures 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 through a ‘challenge by choice’* procedure. My child and I both understand that they may withdraw from an activity if they feel at risk. This must be done in consultation with the person in charge. 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 policy. __________________________ ______________________ ________________ Name Signature Date

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