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URL: https://online.schoolbytes.education/event_consent/m9wq72/c878bfa2-c701-4d10-bd30-662f7674dec1/mJAjYx/RKblEo/eb77928c285aad1e117da9a3...
Submission: On March 26 via api from GB — Scanned from GB

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 Online Form - 2024 School Cross Country Carnival Print Add to calendar

Activity Name:2024 School Cross Country CarnivalDate/Time:Tuesday 26 March 2024
8:50am - 1:30pmDescription:2024 School Cross Country CarnivalVenue:St Ives
Showground (Mona Vale Road, St Ives)Transport:Buses will be provided - cost
included from sport fees.
Students will meet on the quad at 8:50am for roll call to be directed to the
buses by staff.
The buses will take you to and from St Ives Showground. Some of the buses on the
return journey will go via Gordon Station before the return to St Ives High
School.
There will be a buses available to Year 11/12 students at 12:30pm to meet their
TAFE requirements.Dress Code:PE uniform to be worn. You may wear house coloured
shirts and run in comfortable running gear.Food:Bring your own food. Sausage
sizzle will be available for purchase. THIS WILL BE CASH ONLY.Please
Bring:Please bring your own sunscreen, medical items (e.g. puffers, EpiPens),
warm/wet weather clothing if needed and a blanket/tarp to sit on.Educational
Outcomes:- Demonstrate an understanding of movement skills, concepts and
strategies to respond confidently, competently and creatively in a variety of
physical activity contexts.
- Understand the significance of contextual factors that influence health,
safety, wellbeing and participation in physical activity.Additional
Information:- Students who are dropped off / picked up from the venue will need
their parents to sign them in at the sign on/off desk.
- Year 12s are not permitted to drive to and from the venue.Due Date:Tuesday 26
March 2024

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Important information

in the event of injury, no personal injury insurance cover is provided by the
NSW Department of Education for students in relation to school sporting
activities, physical education lessons or any other school activity. The
Department’s public liability cover is fault-based and limited to breaches by
the Department of its duty of care to students that may result in claims for
compensation.

Parents/Carers are advised to assess the level and extent of their child’s
involvement in the sport program offered by the school, school sport zone,
region and state school sport Associations when deciding whether additional
insurance cover is required prior to their child’s involvement in the program.
Personal accident insurance cover is available through normal retail outlets. 

Parents/Carers who have private ambulance cover need to check whether that cover
extends to interstate travel and make additional arrangements, as considered
appropriate.

The NSW Supplementary Sporting Injury Benefits Scheme, funded by the NSW
Government, provides limited cover for serious injury resulting in the permanent
loss of a prescribed faculty or the loss of use of certain prescribed parts of
the body. The Supplementary Scheme does not cover medical costs or dental costs.
 Further information can be obtained from
https://www.icare.nsw.gov.au/injured-or-ill-people/sporting-injuries/payments/#gref. 

Further information regarding student accident insurance and private health
cover is provided at: https://app.education.nsw.gov.au/sport/file/1449.


Concussion clearance

The Australian Medical Association recommends students being symptom free of
concussion for 14 days before returning to sport.

 * If your child/ward sustains a concussion, or experiences any concussion
   symptoms, in the 14 day period prior to the event commencing, you must report
   this to team officials, and a medical clearance is required in order for your
   child/ward to participate in the event.

 * Medical clearances can be attached to this consent form or can be submitted
   to team officials separately.


Parent/Carer acknowledgement and Consent

 * I can confirm that I understand that, in the event of injury, no personal
   injury insurance cover is provided by the NSW Department of Education for
   students in relation to school sporting activities, physical education
   lessons or any other school activity. 

 * I acknowledge that if my child/ward sustains a concussion, or experiences any
   concussion symptoms, in the 14-day period prior to the event commencing, I am
   required to report this to team officials. I further acknowledge that, should
   this occur, my child/ward will only be permitted to participate in the event,
   if a medical clearance is provided. 

 * I affirm that, to the best of my knowledge, my child/ward has no medical
   condition or injury that places him/her at risk by participating in this
   sport activity. 

In the event of any accident or illness, I authorise the obtaining, on my
behalf, of an ambulance and any such medical assistance that my child/ward may
require. I accept full responsibility for expenses incurred. 







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This form was submitted successfully by YU HE on 25/03/2024 10:57am for student
Katrina He with a response of consent given. If you would like to change the
submitted response, please contact your child's school office staff.
 External Links

Information NoteDownload

PRIVACY ADVICE

The NSW Department of Education is collecting the information requested on this
form. The information is being obtained for the purpose of ascertaining relevant
medical information, requirements and other health care related needs about
Katrina He who is currently enrolled at the school and who may participate in
school excursions, sporting activities or other educational or school activities
conducted by or in conjunction with St Ives High School.

The school will use this information to plan, support students, and minimise
risks when conducting school excursions or other related school activities.

Other persons and/or agencies that may be provided with this information
include, but are not limited to, volunteers and members of external
organisations who join with the school or are otherwise involved in the planning
or delivery of the excursion, sporting or other school activity; and persons
that may be called upon to provide health care treatment or other assistance
during or as a consequence of such excursions or activities.

Provision of this information is voluntary, however, if you do not provide all
or any of the information requested, your child cannot participate in the
excursion. In such circumstances, the school will make available a sound
alternative educational experience.

Provision of this information will significantly assist the school in planning a
safer educational activity. It will be stored securely. If you have any concerns
about provision of this information, please contact the school principal to
discuss further.

You may correct any personal information provided at any time by contacting the
school office.
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TELEPHONE INTERPRETER SERVICE

If you need an interpreter to assist you with your enquiry please call the
telephone interpreter service on 131 450 and ask for an interpreter in your
language. The operator will call the school and get an interpreter on the line
to assist you with the conversation. You will not be charged for this service.
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