| No : 8 | ![]() |
Oct 2005 |
| Leaders: | Neil Lamborn | nlamborn@optushome.com.au | ||
| Smokey - Gunther Jahnke | gunther.jahnke@optusnet.com.au | |||
| Scout Hall | 9803 4987 |
Dear all,
I have not received many applications for Gilweroo so unfortunately this camp is cancelled for us.
The next camp is the Monash District Camp at Point Leo on the weekend of 25th to 27th November. The plan will be to depart either Friday Night or early Saturday Morning, returning Sunday afternoon. Please see the attached newsletter and complete and return the forms to Scouts on Monday 7th November with your payment ($45) if you want to go. A parent helper is required for this camp.
**** Please note: Alex, Callum and Madeleine are welcome to come on this camp *****
Cheers,
Smokey
(Gunther)
Camps
Please
note that Gilweroo (Bay Park, Mt.
Martha) has been cancelled due to insufficient numbers.
The
next available camp is :
Monash
District Break up Camp (Point Leo)
This year the District
Camp will be held at Point Leo on 25th
to 27th November. We
will depart Friday night or Saturday morning, depending on interest.
Please complete the
attached form and return to scouts Monday, 7th November with your
money. PLEASE NOTE: A PARENT HELPER IS
REQUIRED FOR THIS CAMP.
Trivia Night
Congratulations
to the 10 scouts (and Gareth) who attended The District Trivia Night held last
Thursday. The troop performed very well, coming second.
Linking Cubs
As
of next Monday, we will host 3 cubs who will be linking with scouts for the next
3 or 4 weeks as part of their preparation for their investiture on Monday the 5th
December. Please make Alex
Bear, Callum Smillie and
Madeleine Wemyss welcome as they prepare for the next phase in their scouting
life.
A
word about Health Forms.
Please
note that Health Forms are in Word Format, so you may find it easier to complete
one form in Word, save it, and then just change the Activity Details and
anything else as required.
Assistant Scout Leader, 4th/11th Waverley Scouts
5th October, 2005
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Permission to attend Monash District Camp at Point
Leo Friday
to Sunday 25th 27th November. I
(parent/guardian) ____________________ give permission for ______________________(insert scouts
name) to attend the above activity at Point Leo. Signed by Parent / Guardian:
________________________Date ____________ Departure 5.00 - 6.00pm Friday evening.
Pick up TBA Sunday afternoon.
I enclose $45
for camp fee and provisions
(Cash / Cheques to 4th/11th Waverley Scouts) Please
complete attached Health Form. |
SCOUTS AUSTRALIA VICTORIAN BRANCH
Please
fill in the details with dark coloured ink
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Activity:
Monash District Camp at Point Leo
Friday to Sunday 25th 27th
November |
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NAME: |
Surname: |
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Given/ Preferred Name: |
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HOME ADDRESS: |
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Suburb: |
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Postcode: |
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Telephone No: |
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PERSONAL: |
Date of Birth: |
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Age
at Activity: |
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Gender: |
Male |
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Female |
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Membership No: |
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Ancillary
Benefits Cover: |
Yes |
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No |
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Medicare No: |
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Ambulance
Ins Number: |
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Private Health Insurance: |
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Priv
Health Ins Number: |
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DETAILS: |
Scouts |
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4th/11th
Waverley |
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Monash |
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South
Metro |
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SECTION |
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GROUP |
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DISTRICT |
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REGION |
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EMERGENCY
USE:
Details of the Parents/Guardians where they can be contacted during the
activity. |
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NAME: |
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Relationship: |
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ADDRESS: |
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Suburb: |
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Mothers
Mobile: |
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Home: |
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Postcode: |
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Fathers
Mobile: |
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Business: |
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In an emergency, if we
cannot contact you, whom else can we contact? |
Name
& Relationship: |
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Phone: |
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HEALTH STATEMENT
If
the participant suffers from any chronic or recurrent ailment, allergy or
physical incapacity, it should be disclosed so that we are aware of the
fact. |
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A |
Does the participant suffer from any physical or
other disabilities? |
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If yes, please specify: |
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Yes |
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No |
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B |
Does the participant suffer from |
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Explanation/Medication: |
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Asthma?..............
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Severe
/ Mild |
Yes |
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No |
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Diabetes?.............
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Type 1 / Type 2 |
Yes |
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No |
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Epilepsy?.............
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Severe /
Mild |
Yes |
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No |
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Dizzy
Spells or Blackouts?.................
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Yes |
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No |
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Bed
Wetting?.....................................
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Yes |
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No |
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Sleep
Walking?..................................
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Yes |
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No |
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Travel
Sickness..................................
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Yes |
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No |
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Migraine
Headache?........................... |
Yes |
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No |
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C |
Does the participant have any known |
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If yes, please specify: |
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allergies?
ie Penicillin, bee sting, bites, |
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egg,
hay fever, other food, drug or other |
Yes |
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No |
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environment
related allergy. |
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D |
Does the participant have any |
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Name of Drug: |
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Medications
on this activity? |
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Dosage: |
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ie
Injection/tablet/capsule |
Yes |
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No |
Reason
or Cause: |
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Penicillin,
insulin, Ventolin, |
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How
Often Administered: |
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other
drugs |
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Administered
by Whom: |
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In the case of a Youth Member, please hand the
medication CLEARLY labelled with the childs name & dosage
instructions to the Leader in Charge of the Youth Member |
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E |
Is there any further information you may
consider necessary, about which we have not asked above and of which we
should be aware (including special dietary requirements?)
Yes / No
If yes, please specify:
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F |
Analgesics:
In the event of your child requiring the
administration of an analgesic (eg Panadol), given the recommended child
dosage of Paracetamol or
Panadol?
Yes / No
If YES, please sign here: |
Do you HEREBY CONSENT to your child being |
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G |
Details
of last Anti-Tetanus injections: |
Year
of Original Injection |
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Year
of last booster injection |
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I hereby Authorise
the Leader in Charge of the above activity, in circumstances where it is not
possible or it is impracticable to communicate with me, to seek for my child,
such Surgical, Medical or Dental treatment as a qualified Surgeon, Medical or
Dental Practitioner may consider to be necessary (including the transfusion of
blood) and I hereby Consent to such treatment.
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Date: |
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Signed: |
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(Parent/Guardian) |
Form
to be filled out by participant if over 18 years old, or by Parent/Guardian,
taken to the event or handed to the Leader in Charge before you leave
This page was last updated on 14/11/2005 09:37:49 AM