Post on 18-Dec-2015
Department of Education
Consent Forms
• Major Excursion Consent and Medical Information Form – Off Campus Excursions
• Consent Form for Aquatic (Water-based) Activities
• Itinerary of annual excursions/events– Can include SWSP program and swimming
carnivals
Department of Education
Major Excursion Consent and Medical Information Form – Off
Campus Excursions Can be done as a ‘once a year’ form at the
beginning of the year. Must be done for all Swimming and Water Safety
programs and any activity involving swimming or the possibility of submersion (sailing, canoeing, rafting, etc.)
Date of first activity and last activity are included Must attach a separate itinerary/calendar of
events/activities that parents can keep. Dates can be approximate.
Department of Education
Major Excursion Consent and Medical Information Form – Off
Campus Excursions Must advertise/remind parents of the upcoming
activities in the week(s) prior to the actual date Must ask parents to advise the school of any
changes to personal information/emergency contacts
It’s about parents making ‘informed’ consent Risk Management Plans are an integral part of
the process and must be signed off by Principals
Department of Education
Example of Major Excursion Consent and Medical Information Form – Off Campus Excursions
Name of School
Street and/or mailing addressPh (03) Fax (03) Email Web
REMOVE THIS GRAPHIC AND INSERT SCHOOL LOGO HERE.
Logo must be 25mm high, places from top edge and 14mm
from right edge
Major Excursion Consent and Medical Information Form – Off Campus Excursions•This form is to give permission for your child to attend a camp/excursion; and•To provide medical information that might be needed in case of emergency.
Excursion detailsDates: From: 1st September 2014 To: 17th December 2014
Location(s) : As per attached Excursion itinerary
Brief Description:
Swimming and Water Safety Program and Swimming Carnivals •See attached Excursion itinerary and information for full details
Teacher(s) in charge:
Department of Education
Example of Major Excursion Consent and Medical Information Form – Off Campus Excursions
Major Excursion Consent and Medical Information Form – Off Campus ExcursionsThis form is to give permission for your child to attend a camp/excursion; andTo provide medical information that might be needed in case of emergency.
Excursion details Dates: (see table below)
Personal details etc
Swimming and Water
Safety1-12 Sep
2014Grades 3-5
School Swimming Carnival
24 Sept 2014 Grades 3-6
Inter-School Swimming Carnival
(if selected)3 Nov 2014Grades 3-6
Champions Swimming Carnival
(if selected)27 Nov 2014Grades 3-6
Triathlon20 Nov
2014Grades3 to 6
School Fun day
Clarence Pool17 Dec 2014
GradesP-6
Location(s) : Clarence Aquatic Centre
Brief Description:
See table above for excursion detailsAttached excursion itinerary and information is for your reference
Teacher(s) in charge:
Department of Education
Example of Excursion List for parents to keep
Date Activity Grades Location
1-12 Sept 2014
Swimming and Water Safety
Program
Grades 3-5 Clarence Pool
21 Oct 2014
School Swimming Carnival
Grades 3-6 Clarence Pool
5 Nov 2014
Inter-School Swimming Carnival
(if selected)
Grades 3-6 The Hobart Aquatic centre
27 Nov 2014
Champions Swimming Carnival
(if selected)
Grades 3-6 The Hobart Aquatic Centre
17 Dec 2014 School Fun dayClarence Pool
Grades P-6 Clarence Pool
School Letterhead etc
2014 Excursion list for xxxxx Primary school Please note the venues and dates may change due to circumstances beyond our control. If this occurs you will be notified prior to the event.
Department of Education
Consent Form for Aquatic (Water-based) Activities
Must be done for all Swimming and Water Safety programs and any activity involving swimming or the possibility of submersion (sailing, canoeing, rafting etc)
Can be done with the Major Excursion Consent and Medical Information form, once a year.
Must have all activities listed with date and venue. Some schools have a reference to using alternative venues if a change becomes necessary.
Department of Education
Example of Consent Form for Aquatic (Water-based) Activities
Aquatic Based Activity
Swimming and Water
Safety1-12 Sep
2014Grades 3-5
School Swimming Carnival 24 Sept
2014 Grades 3-6
Inter-School
Swimming Carnival
(if selected)
3 Nov 2014
Grades 3-6
Champions Swimming Carnival
(if selected)27 Nov 2014
Grades 3-6
Triathlon20 Nov
2014Grades3 to 6
School Fun day
Clarence Pool17 Dec 2014
GradesP-6
Ability Level(tick)
Beginner – no previous experience in the activity
Intermediate – some or limited experience in the activity
Advanced – competent and confident in the activity
I understand that water-based activities/swimming will be occurring and that staff with appropriate first aid, CPR and rescue qualifications will be present.In the event of accident or illness, when it is impracticable or impossible to communicate with me, I understand that the teachers or their delegates at the venue will arrange for my child/ward to receive such medical or surgical treatment as may be deemed necessary, and/or administer such first aid as may be judged necessary. I agree to reimburse the school for any costs involved.Signed Parent/Guardian: ____________________________ ____________________________________________________________________
Name
Signature Date
Consent form for Aquatic (water-based) ActivitiesStudent Name: ______________________________ Class/Home Group: ___________Please indicate in the appropriate box with a tick, the ability levels for the following activities. These will be the aquatic activities your child may participate in as part of the School Education Program:
I ____________________________ (Parent/ Guardian) give permission for my child to participate in the activities selected above.
Department of Education
Example of Consent Form for Aquatic (Water-based) Activities
Aquatic Based Activity Swimming
Surfing Kayaking
Rafting Snorkelling
Boating Sailing
Ability Level(tick)
Beginner – no previous experience in the activity
Intermediate – some or limited experience in the activity
Advanced – competent and confident in the activity
I understand that water-based activities/swimming are part of the Outdoor Education program and that staff with appropriate first aid, CPR and rescue qualifications will be present.In the event of accident or illness, when it is impracticable or impossible to communicate with me, I understand that the teachers or their delegates at the venue will arrange for my child/ward to receive such medical or surgical treatment as may be deemed necessary, and/or administer such first aid as may be judged necessary. I agree to reimburse the school for any costs involved.Signed Parent/Guardian: _______________________________________________________________________________________ Name Signature Date
Consent form for Aquatic (water-based) Activities - Outdoor Education
Student Name: ______________________________ Support Group: ___________
Please indicate in the appropriate box with a tick, the ability levels for the following activities. These will be the aquatic activities your child/ward may participate in as part of the School Outdoor Education Program:
I ____________________________ (Parent/ Guardian) give permission for my child/ward to participate in the activities included above as outlined in the Outdoor Education Subject Handbook.
Department of Education
SARIS – SWSP Results
SARIS Data entry – •Primary and District High Schools OnlyoBecame a requirement after Coroners reportoOnly 5 results from 16 need to be enteredoDays Attended (DAT), Boat Safety (BSA), At Risk (ATR), Continuous Swim (CSW), 3 Minute Survival Swim (SSW)oSchool based decision as to who enters data
Department of Education
SWSP Framework in SARIS 1. Click on the column header to open a framework for a whole group of students
or click on the grid to open a framework for an individual student.
Department of Education
ENTERING ASSESSMENT RATINGS FOR A WHOLE CLASS
1. The easiest method is to use the down arrow view. Click on the arrow at the top of the field that you wish to use. In this example we are going to enter Swim and Water Safety Program ratings.
Department of Education
Other Resources
• Legal Issues Handbook• Risk Management • Risk Management Plans (Work Health
and Safety)– Insurance– Certificates of Currency
• Interstate Travel Procedures