Summer Adventure Camp th January 2017

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Summer Adventure Camp 16-20 th January 2017 Send your children on a Summer Adventure Camp to remember! Your children will be challenged, inspired and gain confidence through camp activities including: Flying Fox, Tunnels, Raft Building, Archery, Abseiling High Ropes, Confidence Course, Geocaching And much more! Location: Manjedal Activities Centre 163 Manjedal Rd Karrakup WA Gilwell Dormitory Duration: Cost: 9am Monday 16 January - 4pm Friday 20 January 2017 $695 inc. GST Our camps are fully facilitated with trained staff all holding a Police Clearance, current WWCC, Senior First Aid and many years of experience. Our camp cost is all inclusive - meals, accommodation, all activities, supervision and more are all covered. Programs are divided into two age groups of 8-12 and 13-17 to cater for the developmental needs of both groups, ensuring everyone is challenged, engaged, and has an incredible experience. Places are strictly limited, and must be booked by the 9 of January 2017. Phone: (08) 9525 1210 Mobile: 0409 340 643 Email: activitiesmanager@scoutswa.com.au sitecoordinator@scoutswa.com.au Bookings forms are also available on our website: http://manjedal.scouts.org.au/

Summer Adventure Camp January 2017 Summer Adventure Camp - Important Information Location: Drop-off: Pick-up: Directions: 163 Manjedal Road, Karrakup WA Monday 9am 16 th January 2017, Manjedal Activities centre, Gilwell carpark Friday 4pm 20 th January 2017, Manjedal Activities centre, GD3 shelter (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 take the first left onto Gilwell avenue, following the signs to the Gilwell carpark. 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 then take the second right onto Governor s drive, until you reach the GD3 shelter/campsite pickup 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

Summer Adventure Camp January 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 o Hat o Bathers and rashie o Plain, light coloured T-shirt to be painted 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 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) 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: (08) 9525 1210 Mobile: 0409 340 643 Email: activitiesmanager@scoutswa.com.au sitecoordinator@scoutswa.com.au Emergency Contact: (08) 9525 4477

Participant information: First Name: Surname: Male / Female: (Please circle) Address: Date of Birth: Age: School year in 2017: (If Applicable) Scout Group: Membership number: Parent/Guardian contact details: Contact 1: Contact 2: Relationship: First name: Surname: Home phone: Work phone: Mobile phone: Email: 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 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 Panadol/Nurofen if he/she has a headache or similar minor illness 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 activitiesmanager@scoutswa.com. Shortly after, you will receive a booking confirmation email, with your invoice attached.