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.

It is a Scout Regulation that a new Health Form be provided for each activity

Gunther Jahnke

Assistant Scout Leader, 4th/11th Waverley Scouts

5th October, 2005

Permission to attend Monash District Camp at Point Leo Friday to Sunday 25th – 27th November.

I (parent/guardian) ____________________  give permission for ______________________(insert scout’s 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 can assist on camp for the weekend ____
  • I can assist with transport to camp for ____ scouts
  • I can assist with transport from camp for ____ scouts
  • I can tow a trailer to / from camp. (Circle)

 I enclose  $45  for camp fee and provisions (Cash / Cheques to 4th/11th Waverley Scouts)

 Please complete attached Health Form.

 

SCOUTS AUSTRALIA – VICTORIAN BRANCH

PERSONAL INFORMATION RECORD

Please fill in the details with dark coloured ink

Activity: Monash District Camp at Point Leo                             Friday to Sunday 25th – 27th November

NAME:

Surname:

 

Given/ Preferred Name:

 

HOME ADDRESS:

 

Suburb:

 

Postcode:

 

Telephone No:

……………………………………..

PERSONAL:

Date of Birth:

 

Age at Activity:

 

Gender:

 Male

 

Female

 

 

 

Membership No:

 

Ancillary Benefits Cover:

Yes

/

No

 

 

Medicare No:

 

Ambulance Ins Number:

 

 

Private Health Insurance:

 

Priv Health Ins Number:

 

DETAILS:

Scouts

 

4th/11th Waverley

 

Monash

 

South Metro

 

SECTION

 

GROUP

 

DISTRICT

 

REGION

 

EMERGENCY USE: Details of the Parents/Guardians where they can be contacted during the activity.

NAME:

 

Relationship:

 

ADDRESS:

 

Suburb:

 

Mother’s Mobile:

 

Home:

 

Postcode:

 

Father’s Mobile:

 

Business:

 

In an emergency, if we cannot contact you, whom else can we contact?

Name & Relationship:

 

Phone:

 

 

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.

A

Does the participant suffer from any physical or other disabilities?

 

 

 

If yes, please specify:

 

 

Yes

/

No

 

 

 

 

 

 

 

 

B

Does the participant suffer from

 

 

 

Explanation/Medication:

 

 

Asthma?..............

Severe  /    Mild

Yes

/

No

 

 

 

Diabetes?.............

Type 1 / Type 2

Yes

/

No

 

 

 

Epilepsy?.............

Severe  /    Mild

Yes

/

No

 

 

 

Dizzy Spells or Blackouts?.................

Yes

/

No

 

 

 

Bed Wetting?.....................................

Yes

/

No

 

 

 

Sleep Walking?..................................

Yes

/

No

 

 

 

Travel Sickness..................................

Yes

/

No

 

 

 

Migraine Headache?...........................

Yes

/

No

 

 

C

Does the participant have any known

 

 

 

If yes, please specify:

 

 

allergies? ie Penicillin, bee sting, bites,

 

 

 

 

 

 

egg, hay fever, other food, drug or other

Yes

/

No

 

 

 

environment related allergy.

 

 

 

 

 

 

 

 

 

 

 

 

D

Does the participant have any

 

 

 

Name of Drug:

 

 

Medications on this activity?

 

 

 

Dosage:

 

 

ie Injection/tablet/capsule

Yes

/

No

Reason or Cause:

 

 

Penicillin, insulin, Ventolin,

 

 

 

How Often Administered:

 

 

other drugs

 

 

 

Administered by Whom:

 

 

 

 

 

 

 

 

In the case of a Youth Member, please hand the medication – CLEARLY labelled with the child’s name & dosage instructions – to the Leader in Charge of the Youth Member

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:                ……………………………………………………………………………….

 

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

 

G

Details of last Anti-Tetanus injections:

Year of Original Injection

 

Year of last booster injection

 

                                                                       

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.

 

Date:

 

Signed:

 

(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