• Excursion/Water Based Policy documentation has been completed and signed off.
• Group Leader/Teacher in Charge for this excursion/camp will be ___________________________
• The Group Leader will have all student details required for the camp/excursion i.e. names, medical details, swim ability etc.
• The Group Leader will liaise with the Manager as to the abilities of the students and their ablility to particiapate in the activities. This includes medical, physical, mental and behaviour.
• Visiting staff has read "General Conditions for Hire" of the Camp School, their role, the supervision of students and the role of the Camp School Staff. (www.geraldtoncampschool.wa.edu.au)
• You have approved the Camp Program your school has organised for their excursion/camp.
• You and staff have read the Camp School "Emergency Response Plan" and "Risk Management Procedures" for specific activities.
• Number of staff attending the excursion: Female ________  Male ________ Bus Drivers_________
• Contact Mobile Phone Number/s ___________________________________________________
• Number of students on excursion/camp: Female: _______ Male ________  = Total _____________
• Names of qualified staff:   Senior First Aid:     __________________________________________
•                                        Bronze Medallion:  __________________________________________
•                                        Surf Rescue:          __________________________________________

Other Requirements: _________________________________________________________________________________

_________________________________________________________________________________

Principals Signature: _________________________________  Date: _________________________