Method of transport to and from the activity: Indicate how participants will be travelling to and from the activity

Contact details: (Please contact Emergency Contact if you feel the participant is overdue from returning from the Activity ) 

 Activity Coordinator:

Enter name of activity co-ordinator & phone number

Emergency Contact:

Enter name of emergency contact & phone number

Enter the details specific to the activity here, the following examples are a guide to ensure you are providing sufficent information for parent/guardian or self to provide informed consent to attend the activity.

Environment & Facilities

• Description of campsite and facilities:

• Power, water or facility limitations:

Purpose & Program Overview

• Purpose of activity:

• Outline of planned activities:

• Will participants remain on site at all times? ☐ Yes ☐ No

Supervision & Attendance

• Who may attend (youth/adults):

• Adult screening requirements (WWCC, police check, A2):

• Age-specific supervision requirements:

• Restrictions on additional attendees:

• Will participants remain on site at all times? ☐ Yes ☐ No

Health, Safety & Hygiene

• Health expectations (e.g. illness exclusions):

• Hygiene or infection control measures:

• Known risks and controls in place:

Behaviour & Participation Expectations

• Behaviour standards:

• Requirement to stay with the group:

• Consequences of non-compliance:

Equipment & Clothing

Participants must bring:

Participants must NOT bring:

Responsibility for personal items:

Food & Medical Requirements

• Where medical and dietary details must be recorded:

• Deadline for updates:

Accommodation & Logistics

• Camping or accommodation details:

• Arrival and departure instructions:

Cancellation & Refund Policy

• Refund conditions:

• Non-refundable circumstances: