St Joseph's Swim Program Term 4
Our Swim Program will commence in Term 4 for all Kindergarten, Year 1 and Year 2 students at Terrey Hills Swim School.
Please submit this form no later than Monday 16th September.
IMPORTANT: Please complete and submit individual forms for each child
WHEN: Thursday 24th October 2019 to Thursday 12th December 2019
WHERE: Terrey Hills Swim School
UNIFORM: Students must wear their sports uniform including shoes and socks. They may wear swimmers under their uniform or they can bring swimmers to school to change into.
WHAT TO BRING:
Students will travel to and from the venue by bus. The bus will leave St Joseph's at 11am and return to school at 1pm.
Student - SURNAME
Please enter your child's surname
Student - FIRST NAME
Please enter your child's first name (separate form for each child please)
I give permission for my child to attend the Terrey Hills Swim School Swim Program
I give permission for my child to travel to and from the venue by bus
Please tick one box that best describes your child's swimming ability
Non-swimmer i.e. cannot glide with face in water
Needs stroke correction
Can swim 25m of each stroke competently
Attends lessons at Terrey Hills Swim School
Does your child have any medical condition or disability that may affect your child's participation in the swim program? If yes, please provide information below
Is your child on any prescribed medication(s) which would be required to be taken whilst at the Swim Program? If yes, please provide name of medication, dosage and time to be taken. Note: Medication held at school for individual children (ventolin/Epipen) will be taken by school staff to the pool.
Request to Administer Medication
If your child requires medication on the excursion, have you provided the school office with a completed Request to Administer Medication form signed by your child's treating doctor?
Does your child have any allergies (e.g. insect bites, food)
If yes, please provide details below
Is there any other information you would like to give which, in your view, may affect your child's participation in the excursion?
If yes, please provide information below
Name of parent /carer giving permission for their child to attend excursion
Email address of parent / carer
Emergency contact information - name of contact on the day
Emergency contact information - mobile/telephone number on the day
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