Activity Consent Form – 2017 China Study Tour
28 August 2016
Dear Parent/Carer
From 14th September to 28th September 2017, we will be conducting 2017 China Study Tour as part of our Global School Program.
The aim of the activity are to meet the increased demands from the students, parents and community to enhance students’ learning through international study tour; to connect students’ learning wit hthe real world; to build on their entrepraunial skills with global connectedness.
Activity details:
The following details relate to an educational excursion to Mainland China and Hong Kong which is being organised for Cairns SDE full time enrolment students and school based Chinese language students (Year 9 to Year 12 in 2017 and must be born in or before 2002) to experience authentic Chinese culture, and to broaden their global views.
This Study Tour is sponsored by Tourism Confucius Institute at Griffith University, who are responsible for in country activities, transportation and accommodation. Cairns SDE teachers will look after the international travel, Hong Kong visit and bookings. For draft travel itinerary, please find the attached information.
Itinerary for 2017 China Study Tour Program (14th Sep– 28th Sep 2017)
Date / Activities / Accommodation and Transport14 Sep / Cairns to Hong Kong to Beijing / International flight
15-18 Sep / Stay in Beijing, visiting Forbidden City, the Great Wall, and Palace Museum. Depart for Nanjing. / Rishengchang Hotel – domestic flight
18-19 Sep / Visit Confucius Institute Headquarter, Camp Opening Ceremony (Famous Teacher Schoolroom), Lecture on China’s National Condition; Visit Ming Tombs and Mt Zijin. / Grand Hotel – bus
20 Sep / Depart for Xuzhou via fast train. Culture Experience: Visit Chinese Brocade Museum / Fast train
China University of Mining and Technology
21-26 Sep / Chinese language and culture in class study.
27 Sep / Xuzhou to Hong Kong / Domestic flight
Hotel to be booked
International flight
28 Sep / Hong Kong Disney Land
29 Sep / Hong Kong to Gold Coast to Cairns
Activity Costs:
The cost of this trip is AU$2000, which includes return air tickets from Cairns to China; transfer airport to hotel; two-night accommodation in Hong Kong; 1 day Disneyland ticket; Chinese visa cost; in China food; activities; transport and tour cost; and $200 of pocket money to cover meals and incidentals which are not included.
This cost does not include travel and medical insurance, vaccinations, some meals on road, transport from home to Cairns nor other personal spending.
A $500 non-refundable deposit is payable to Cairns SDE in Week 4 Term 4 2016. This is guarantee money we need to pay to the travel agency, Escape Travel Cairns, to secure our flight and accommodation booking. For a legitimate
reason that a student could not carry out the travelling, it is up to students’ guardian to negotiate with the Escape Travel Cairns for a possible refund.
The detailed payment plan and preparation plan is listed as below to assist students and parents in preparing for the trip.
Date / To be done / Check14 October / Application package to students in Y8-Y11 CSDE students and school based Chinese students
24 October / Parent Information Night – iConnect Sessions, if you would like to attend, please search CSDE 2017 China Trip, password is China, Time: 18:00-19:00 https://iconnect.eq.edu.au:443/join_meeting.html?meetingId=1337752297052
24-28 October / $500 deposit to CSDE trust account, permission form and application form need to be back by 28th October
Note: If you are experiencing financial difficulty, please contact school principal Andrew Oliver via email to discuss possible options for your trip.
28 October / Confirm air ticket, Disney Land and Hotel booking
16 Feb 2017 / 1st instalment of $500 is due. Passport application form send out to students, passport application commence (2nd instalment)
16 March 2017 / 2nd Instalment of $500 (3rd instalment)
16 May 2017 / Final instalment of $500, hand in colour copy of passport 1st page and last page with signature.
16 June 2017 / Parents information night, including medical and travel insurance; visa application form; immunisation information; Code of Conduct for students to be forwarded
16 August 2017 / Passport original copy, 2 colour passport photo, visa application form, medial and travel insurance form, immunisation form, Code of Conduct form back to school for visa application
28 August 2017 / Parents information night – What to pack
There will be three supervising teachers accompanying students for this trip. The cost of supervising teachers are covered by Cairns SDE and Confucius Institute. The contact details of these three supervising teachers are:
David Zhang Cairns SDE HOD Languages
Alice Zhao Cairns SDE Chinese/Math teacher
Shannon Shan Griffith University TCI
If you wish for your child to participate in the activity, please complete this consent form and return all pages to David Zhang or Alice Zhao listed above.
Staff accompanying students on overseas excursions will take all reasonable care while the students are in their charge to protect them from injury and to control and supervise their behaviour and activities.
For further information about the activity, please contact David Zhang on 07 40809231 or email .
Yours sincerely
Andrew Oliver
Principal
Cairns SDE
Privacy Notice
The Department of Education and Training (DET) is collecting the personal information requested in this form in order to:
- obtain lawful consent for your child to participate in the activity;
- help coordinate the activity;
- respond to any injury or medical condition that may arise during, or as a result of the activity; and
- update school records where necessary.
The information will only be accessed by authorised school staff and will be dealt with in accordance with the confidentiality requirements of s.426 of the Education (General Provisions) Act 2006 (Qld) and the Information Privacy Act 2009 (Qld).
The information will not be disclosed to any other person or agency unless it is for a purpose stated above, the disclosure is authorised or required by law, or you have given DET permission for the information to be disclosed.
Activity Risks & Insurance
Please note that the Department of Education and Training does not have personal accident insurance cover for students. If your child is injured as a result of an accident or incident while participating in the activity, all costs associated with the injury, including medical costs are the responsibility of the parent/carer. Some incidental medical costs may be covered by Medicare. If you have private health insurance, some costs may be also be covered by your provider. Any other costs must be covered by parents/carers. It is up to all parents/carers to decide what types and what level of private insurance they wish to arrange to cover their child. Please take this into consideration in deciding whether or not to allow your child to participate in this activity.
Consent
By signing this form (below) I agree that:
· I have read all of the information contained in this form in relation to the activity (including any attached material) and I am aware that the Department of Education and Training does not have personal accident insurance cover for students.
· I give consent for my child, ______<insert child’s name in class ______< insert class details, to participate in the 2017 China Study Tour activity from 14-28 September 2017.
· I will pay to the school the costs detailed above for my child’s participation in the activity.
· In the event of an accident or illness, school staff may obtain or administer any medical assistance or treatment my child may reasonably require, including contacting my child’s doctor.
· I accept liability for all reasonable costs incurred by the Department of Education and Training in obtaining such medical assistance or treatment (including any transportation costs) and undertake to reimburse the Department of Education and Training the full amount of those costs.
· I have provided the school all relevant details of my child’s medical or physical needs on enrolment and where relevant have updated this information.
Parent/Carer Name: ______(Please Print)
Parent/Carer's Signature: ______Date: ______/______/______
Additional medical information
The school collected medical information about your child at enrolment. This information is stored electronically in OneSchool. Please give full details of any new or updated medical information which may affect your child’s full participation in the activity described in the form.
______
You may also wish to provide the following information*:
Name of child’s medical practitioner: ______Telephone No.: ______
Medicare No:. ______
Private Health Insurance Company (if applicable): ______Membership No.:______
*If an enrolment form for your child has been completed or updated since October 2012 this information will already be recorded in OneSchool.
I would like this additional information about my child’s medical information to be recorded in OneSchool records.
Uncontrolled copy. Refer to the Department of Education and Training Policy and Procedure Register at http://ppr.det.qld.gov.au/ to ensure you have the most current version of this document.