21 Apr 2017 - Booking forms can be found on http:// manjedal.scouts.org.au/ & returned to MAC by the 3rd of April at
Easter Holiday Adventure Camp Send your children on an Easter Holiday Adventure! They will be challenged, inspired and gain confidence through camp activities including: Flying Fox, Tunnels, Canoeing, Archery, Orienteering, Geocaching, Camp Cooking and much more! Location:
Manjedal Activities Centre 163 Manjedal road Karrakup WA
Duration:
9am Tuesday 18th — 4pm Friday 21st April 2017
Cost:
$595 inc. GST Our camps are fully facilitated with qualified & experienced staff all holding a current Police clearance, Working with children card, Senior first aid, and a Bronze medallion if they are running water-based activities. The program is split into 2 age groups of 8-11 and 12-15 to cater for the developmental needs of both groups, ensuring everyone is challenged, engaged and has a wonderful time. Participants will enjoy our Youth Centre Dormitory and have a camping experience all on the one camp, with tents provided. The price is all inclusive, covering activities, accommodation, meals and supervision at all times. Places are strictly limited. Booking forms can be found on http:// manjedal.scouts.org.au/ & returned to MAC by the 3rd of April at the latest. Manjedal Activities Centre (08) 9525 1210
0409 340 643
[email protected] [email protected]
Participant information: First Name: Surname: Male / Female: Address: Date of Birth:
____________________________________________________ ____________________________________________________ (Please circle) ____________________________________________________ ____________________________________________________ ______________ Age: ______ School year in 2017: _____
(If Applicable) Scout Group: ____________________________________________________ Membership number: ____________________________________________________
Parent/Guardian contact details:
Relationship: First name: Surname: Home phone: Work phone: Mobile phone: Email:
Contact 1:
Contact 2:
________________________ ________________________ ________________________ ________________________ ________________________ ________________________ ________________________ ________________________
_______________________ _______________________ _______________________ _______________________ _______________________ _______________________ _______________________ _______________________
Medical Information Medicare Number: _____________________________________________________ Private Fund & member number: ___________________________________________ Ambulance fund: _____________________________________________________
Allergies, Illnesses, or past medical history that may influence camp participation or medical treatment: _______________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ Special Dietary needs (e.g. vegetarian, no dairy, etc.): ____________________________________ ___________________________________________________________________________ Swimming competence level: ________________________________________________ Any educational, behavioural or other information (e.g. Bed wetting, sleep walking, etc.) which may be relevant to camp participation _________________________________________ _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________
Medication required while on camp: (All medication must be given to the camp leaders to be given to your child at the required times, even if they usually self-medicate at home. All medication must be clearly marked with the participant’s name – A day by day medication box is ideal.)
Name of Medicine
What it is taken for
Strength
Dose
When to be taken
Parental/Guardian Consent I agree & give permission for: (Please tick) o Photos to be taken of my child, that may be posted on social media & used in future advertisements for the camp o To give all medication my child requires to the camp leaders, to be given to my child at the required times (This is extremely important and must be given to facilitators at the drop off time before leaving your child) o To cover the costs of an ambulance should one be required, if it is not already covered by the above medical fund o My child to be given (please circle if one is preferred) Panadol/Nurofen if he/she has a headache or similar minor illness o My child to be given an antihistamine tablet if they are experiencing an allergic reaction i.e. hay fever, rash/redness near an insect bite o My Child to receive any necessary medical attention, including but not limited to first aid, Doctor’s visits, and emergency medical care o That if my child breaks the conduct agreement or becomes disruptive on camp they will face consequences including being sent home at my expense
Conduct Agreement I agree to & understand: (Please tick) o To be cooperative, responsible, and helpful at all times during the camp, and always act with the safety of myself and those around me in mind o To withhold from bringing alcohol, non-prescription drugs, cigarettes, lighters, matches, and any other dangerous substances or equipment to camp o That if I break this conduct agreement or become disruptive on camp I will face consequences including being sent home
We have read and agree to abide by the Conduct Agreement, & I agree to all parental/guardian consent points.
Signature of Parent/Guardian:
Signature of Participant:
________________________
__________________________
Please email your completed form to
[email protected] Shortly after, you will receive a booking confirmation email, with your invoice attached.
Easter Adventure Camp April 2017
Easter Adventure Camp - Important Information Location:
163 Manjedal Road, Karrakup WA
Drop-off:
Tuesday 9am 18th April 2017, Manjedal Activities centre, Youth Centre carpark
Pick-up:
Friday 4pm 21st April 2017, Manjedal Activities centre, GD3 shelter
Directions:
(Please note you will not have mobile or GPS reception for directions)
From Perth, follow directions to Byford until you are on the South Western Highway, then turn left onto Nettleton road. Approximately 9.6km along, turn right onto Manjedal road, at the sign for Manjedal Activities centre. Continue until you reach the gate, enter the gate code on the pin pad, and then continue straight & take the second left following the signs to the ‘Youth Centre’. Please note the speed limit is 20km/hr, which must be adhered to due to the number of vehicles & children on site. Follow the same directions for pick-up until you enter through the gate, where you will continue straight & then take the second right onto Governor’s drive, until you reach the GD3 shelter/campsite pick-up location. From there you will continue along Governor’s drive & Top end Track to exit through the gate & along Manjedal drive. This will be a one way traffic flow up Governor’s drive, and down Top end Track, as per the below map.
Pick-up Map
Easter Adventure Camp April 2017 What to bring: o All bedding: Pillow, sleeping bag or sheet & blanket (Only a mattress is provided) o Seasonal clothing suitable for activities & weather, with at last one jumper for cooler nights o Closed in shoes (suitable for lots of walking) and a pair of shoes for water activities - i.e. reef/boat shoes or old runners that must be closed in - no thongs allowed. These are essential for participation in water-based activities. o Hat o Bathers and rashie (or old T-Shirt to be worn over bathers) – board shorts and one piece swimmers preferred o 2 Towels o Torch with spare batteries o 2 plastic bags o Water bottle minimum 600mL o Toiletries: Toothbrush, toothpaste, hairbrush, soap, shampoo, etc. o Sunscreen & insect repellent – clearly labelled for personal use only (due to possible allergies) o Optional: Cheap, disposable camera (Photos will be taken by facilitators during the camp as well) Please ensure all items are clearly marked with your full name. We do not take responsibility for any lost or damaged items, but will encourage all participants to look after their belongings What not to bring: o Mobile phones o Radios o Electronic games o Expensive clothing/jewellery o Food or snacks (due to allergies of other participants) o Any electronic devices will be confiscated & returned to parents/guardians at the end of camp Contact information: The office is open & contactable from 9am – 5pm Monday to Friday. In the case of an emergency requiring you to contact your child outside these hours, this can be done using the Emergency contact number below, which goes to the Caretaker’s residence, allowing him to then pass the message along to camp facilitators. Office: Phone: Mobile: Email: Emergency Contact:
(08) 9525 1210 0409 340 643
[email protected] [email protected] (08) 9525 4477
