YEAR 7 - 12
DAY EXCURSION “FORMS”
(Please fax to HBEEC 40550506 at least three weeks prior to date of excursion)
Date of visit ____/____/20__ Return of Form Due Date ___/____/20__
School: ______Year Level: ______
Contact Teacher: ______
Phone: ______No. of Teachers: ______
Approx. Number of Students: ____ Approx. No of Accompanying Adults:____
Transport (please tick) private vehicle bus
Depart School: ____:____am ETA HBEEC: ____:____am
Depart HBEEC: ____:____pm
PROGRAM
OUTCOMES (list two specific outcomes you hope to achieve during your visit)
· ______
· ______
DAY PROGRAM (what activities, times of each activity and other details we require before you arrive)
ACTIVITY / TIME / NO. OF /WHO IS LEADING THE ACTIVITY
ALLOCATED / STUDENTS / HBEEC STAFF / VISITING TEACHER / PARENTSLUNCH
My Doc/Website Change/Lyn 2006/ Day Ex “Forms” 4-7
YEAR 7-12
SAMPLE LETTER
Dear Parent/Guardian
RE: Day Excursion
Year ____ will be visiting the Holloways Beach Environmental Education Centre which is a Department of Education Queensland Facility. The details are as follows:
Venue: Holloways Beach Environmental Education Centre
46 Poinsettia Street, Holloways Beach
Date: ____/____/____
Cost: $____:____ per student
Transport: ______
Departure Time/Place: ______
Return time/Place: ______
Staff from school: ______
Other Staff: A HBEEC staff teacher
No. of other supervising adults/parents:
FIRST AID: All children covered by Ambulance Subscription when involved with HBEEC activities on or off site. (This does not include transport to and from the centre)
As part of their day visit students will be participating in activities such as: (you will need to list activities chosen for your program after discussions with centre teacher)
Please find attached a parent/guardian consent form and medical form to be returned to school by ____/____/____
Yours sincerely
………………………………
Class Teacher
My Doc/Website Change/Lyn 2006/ Day Ex “Forms” 4-7
YEAR 7-12 GROUP LIST
Teacher MUST bring a copy of this form (COMPLETED) on the day of your excursion for HBEEC Principal.
SCHOOL: ______YEAR LEVEL: ____ DATE: ___/___/___
Student Names / Teachers Names1. / 1.
2. / 2.
3.
4.
5.
6.
7.
8.
9.
10.
11. / Teacher Aide Names
12. / 1.
13. / 2.
14. / 3.
15. / 4.
16.
17.
18.
19. / Parents/Other Adults
20. / 1.
21. / 2.
22. / 3.
23. / 4.
24. / 5.
25. / 6.
26.
27.
28.
29.
30.
My Doc/Website Change/Lyn 2006/ Day Ex “Forms” 4-7
YEAR 7-12 ALERT LIST
Please transfer all relevant details from medical Consent Forms and school files (if required) eg. Information on asthma, swimming ability, allergies to sandflies and mosquitoes. Depending on the activity.
SCHOOL ______YEAR LEVEL_____ DATE ___/___/___
Students Name / Medical Condition We Need To be Aware of! / Medication/Dosage / Special Needs1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
26.
27.
28.
29.
30.
** NOTE: - The teacher-in-charge is responsible for the giving and recording of any medication. HBEEC does not require copy!
- If there are any students with special needs please make the Centre Staff aware on arrival!
My Doc/Website Change/Lyn 2006/ Day Ex “Forms” 4-7
YEAR 7-12
TEACHER CHECKLIST FOR PREPARATION OF DAY EXCURSION
NB. This is only meant to be a guide. Please read through entire kit to gain all the information you need.
No. / Preparation Activity / Completed1. / Attend Familiarisation Session or meet with HBEEC staff to discuss organization of the excursion day?
2. / Planned unit of work to incorporate Day Excursion.
3. / Booked bus/arranged private transport?
4. / Boating and Information Letter to Parents along with consent form.
5. / Excursion Information Sheet faxed to HBEEC
- 3 weeks prior to visit.
6. / Discuss with students suitable clothing, footwear, sunscreen, food, hat, repellent other pre-requisites
they need to bring.
7. / Discuss with students and parents, an “environmentally friendly” LITTER FREE morning tea and lunch students can bring.
8. / Complete Group List and Alert List to bring to Centre
on day.
9. / Students divided into groups before excursion.
10. / First Aid Kit? Extra Sunscreen and Insect Repellent? Eskies? Camera (spare batteries)
My Doc/Website Change/Lyn 2006/ Day Ex “Forms” 4-7