HIGH SCHOOL SUMMER CAMP 21 - 26 JANUARY 2019 www.nzdeafcamp.co.nz - van Asch Deaf Education ...
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HIGH SCHOOL
SUMMER
CAMP
21 - 26 JANUARY 2019
OTAKI - HOROWHENUA - NORTH ISLAND
FOREST LAKES CHRISTIAN CAMP
For more info - visit our website
www.nzdeafcamp.co.nz
Welcome to your registration pack for 2019 High School Summer Camp
Thanks to the generosity of the New Zealand Sign Language Board, we are again hosting another camp,
but this time, at the beautiful location of Forest Lakes in Otaki. This letter provides information about
the registration for the High School Summer Camp 2019 for Deaf and Hard of Hearing students in New
Zealand.
You may or may not have been part of the 2018 summer camp in Palm Grove on the Kapiti Coast, but
a few changes have been made as we start moving towards making the camp sustainable and open to
an increased number of students. So, this year, each student will need to pay a camp registration fee
of $100.00 and they will have to make their own travel arrangements to/from Wellington (or Otaki)
at their own expense.
We have set up a Hardship Fund to support a small number of students who live in rural areas far
away from the nearest airport, or who have to catch more than one flight to get to Wellington, or
whose family/whanau have limited financial means. We will not ask for bank statements, but for other
evidence to support the application. For more information, see the Hardship Fund application form.
Registration
Registrations open on 25 June 2018 and close on 28 September 2018
(or earlier if the required number of paid registrations have been accepted)
When we receive your completed and signed registration form, we will respond and send you an
invoice with banking details to pay the camp registration fee.
If you have submitted a hardship application, we will contact you to let you know we have received
your registration, and we will be in touch within two weeks with our decision regarding your
application.
Your place on camp is not guaranteed unless your registration fee is paid
(or hardship application approved)
Travel to Camp
As the travel is now the responsibility of the family/whanau, please refer to our Travel Information
advisory sheet for ideas on options for travel to/from Wellington or Otaki.
Thank you for your interest. We look forward to hosting another successful summer camp.
Deaf Camp Committee 2018
Timeline of Camp Process
This page is to inform you of important dates of Camp process for registrations and preparation.
Monday 25th June 2018 Registrations Open
Friday 28th September 2018 Registrations Close
(or earlier if we reach the maximum number of
paid and confirmed registrations)
As soon as we receive your registration, you will be sent an invoice for the registration fee with
banking details. Registration will be accepted and confirmed upon receipt of payment.
If you register and apply for hardship funding
we will acknowledge your application, and you should receive a decision on your hardship
application within two weeks.
November 2018 Paid and confirmed registered students will be
contacted for their travel plans.
December 2018 Information pack will be released. This pack will
contain information about….
• what to bring to camp
• your group colours
• directions to venue
• emergency contacts of camp staff
• Information about Camp Staff/Leaders
Any questions, concerns or updates, contact us at
nzdeafcamp@gmail.com
022 247 4783 (Text Only)
or check our website www.nzdeafcamp.co.nz
This is the full registration form for the Summer High School Camp 2019.
Everything is required to be filled out - if its not applicable please write or select N/A.
Personal Information - Child
Name
First Last
Date of Birth Age
Ethnicity Gender
Identification of Deafness Hearing Assistance
Deaf No Hearing Assistance
Hard of Hearing Cochlear Implants (Bilateral / Unilateral)
Deaf Blind Hearing Aids (Bilateral / Unilateral)
Other Bone Anchored Hearing Aid (BAHA) (Unilateral /
Bilateral)
Please enter your child's RTD/ASSIST service name
below, otherwise please provide an audiogram,
attached to this registration form, or emailed to
nzdeafcamp@gmail.com.
Resource Teacher of the Deaf / Assist Services Does your child have any additional disabilities?
(if any)
Please name your RTD / Assist Person - or if name
unknown list which Deaf Education Centre you
receive support from.
Communication Method
New Zealand Sign Language (NZSL)
Spoken English
Spoken English and NZSL
Education High School - 2019 (Enrolled or Intending to Enroll) Please be aware that enrolment to a high school is an criteria of camp admission and evidence may be requested. Year Level in 2019 Year 9 Year 10 Year 11 Year 12 Year 13 About your child Child's Interests / Hobbies Please comment on your child's general behaviour and any issues/concerns we should be aware of?
Parent / Caregiver
This section is for the Legal Guardian of the child - This information will also be used for Emergency
contact
Name
First Last
Residential Address
Postal Address (if different to Residental Address)
Phone - Day Phone - Night
Phone - Mobile Preferred first choice of contact
Day Phone Night Phone Mobile Phone
Email
Emergency Contact
This information will be used if we cannot contact you (Legal Guardian) in times of emergency
Name
First Last
Phone - Landline Phone - Mobile
Relationship to Child
Health and Safety - Child
This section is about the Child's Health
Is your Son/Daughter presently taking any I agree to let NZ Deaf Camp know, if my child will
medication? be taking medication on camp.
Yes No Yes No
We all know, circumstances change, and your child
may start taking medication, so please let us know,
as this is a Health and Safety requirement and also
ensures we support the medication regime.
If yes - Please detail medication / dosage and frequency that medication should be taken?
Does your child experience any of the If you have identified an experience - Please
following.... detail here and also identify how to
Asthma manage / solve.
Epilepsy
Sleep Walking
Migraines
Bed Wetting
Travel Sickness
Home Sickness
Dizzy Spells
Fear of ________ (Heights / Animals etc - Specify
please)
None
Other? Please explainAny Allergies - Please Specify and detail remedy Any Dietary Requirements? (Gluten Free?
/ medication? Vegetarian etc?)
Any accessibility requirements? (wheelchair? Do you permit that we administer basic first aid,
crutches? can't use steps?) and provide pain relief medication when
required?
Yes
No
Other
Any additional information you wish to share If No/Other Please specify what we require to do.Health and Safety - Camp
Can your child run independently for a minimum of Water Confidence - Can your child swim
25 Metres? independently for at least 25 metres in a
Yes No depth of 1 to 1.5metres, and put head under
water? Please detail
Yes No
There are some high risk activities on camp. Please advise us if your child is or is not allowed to
participate in these activities.
Please be aware, that even though these are classed as high risk, there are qualified instructors, and
interpreters and also Deaf Education staff that will be involved. Due to Health and Safety requirements we
require to ask for each activity. We are here to discuss any concerns if you wish to contact us about
them. If you require information about each/any activity, please contact us.
Yes No Need to Discuss
Flying Fox
Gladiator
Horse Riding
KayakingMedia Social Media is everywhere. We will do our utmost best to honour your requirements here. We will be having a social media session on Day One to ensure everyone is aware of what is, and what is not allowed. Do you permit NZ Deaf Summer Camp to publish photos / videos from camp that may involve your child. Yes No Require to discuss with NZ Deaf camp committee Publications will include (and not limited to) - New Zealand Deaf Camp Website - van Asch and Kelston Deaf Education Centre Newsletters and School Magazines and for the NZSL Board. With Social Media being everywhere, and campers will most likely take photos / videos of others and themselves. Do you permit these going on Social Media (Facebook, Instagram to name a few) Yes No Require to discuss with NZ Deaf camp committee Please be aware - we cannot gaurantee 100% social media black out if you request that, but we will do our best to ensure your request and privacy are honoured. We request you to send a photo of your child to us. This photo is for ID purposes as well as to give us a 'face to the name' when we process all the registration forms. Please send this to nzdeafcamp@gmail.com with your child's name in subject line - OR attach it to this registration form please. Please note: If attached - it will not be returned. I understand the Social Media Information and Consent Signature of Parent ate
Code of Conduct available in NZSL
https://youtu.be/XWadwr9mlA8L (or on our website)
Code of Conduct
Our camp will have a code of conduct to make sure everyone feels safe and comfortable and that everyone makes a
equal contribution to the camp community. When everyone follows the code of conduct then we will have a
awesome camp environment where everyone can make positive friendships that will be life-long. When you are on
camp with us, we ask that you follow these simple rules at all times (including while travelling to/from camp):
1. I will look after my personal things and other people's things.
2. I will look after the camp site to make sure it is tidy and safe.
3. I will respect people, their bodies and personal space and their right to privacy
4. I will share camp duties with other people.
5. I will not bring drugs, alcohol or gang wear to camp.
6. I will not fight, steal, bully or do any other criminal actions.
7. I will listen to the camp leaders’ instructions to make sure that I am safe and that others are safe too.
8. I will collaborate, communicate and connect with other campers.
9. I will leave camp with great memories and new friends.
10. I promise to have fun!
When you follow our code of conduct, then everyone will be safe and comfortable at our awesome camp. But if you
do not follow our code of conduct, we will have to send you home at your own cost.
I ________________________________ have read this code of conduct.
I have discussed this with my parents/caregiver and I understand what happens if I do not follow this code of
conduct.
I have read, understand and do accept this I have read, understand and do accept my child
code of conduct. signing this code of conduct
________________________________ ________________________________
(Student to sign here) (Parent/Caregiver to sign here)Consent
- You give full consent for your child to attend this camp
- You are aware that the camp venue ( orest akes hristian amp) and the camp committee are not in any
way to be held liable for damage of personal property.
- You are aware that if any disciplinary action is taken and your child is sent home, it will be at your cost.
- You have completed this form truthfully, and will inform us of any changes (if required) as soon as possible.
You also agree to pay . towards the amp ee.
his is -
If you are not applying to the Hardship Fund or your application for that is not successful,
you accept that the $100 camp registration fee needs to be paid within the given timeframe
in order for the registration to be accepted and confirmed.
Signature of ParentTravel Advisory – How to get to and from Camp
Forest Lakes Camp is in Otaki. This page is to assist you with your Travel Arrangements.
It is important that you follow the advice below to help us with our arrangements.
Travel in: Monday 21st January 2019 Travel Out: Saturday 26th January 2019
If you live in…
Palmerston North / Wanganui / If you live…Anywhere Else
Horowhenua / Wellington
You will most likely be flying into Wellington
Due to your proximity to Camp, you have three Airport. Please can you try and align the flights
options to get to Forest Lakes. to arrive and depart at the specified times, as
this will ensure all students travel together to
Arriving to Camp camp on a bus that has been booked.
Option 1 – You can be dropped off at camp We do, however, acknowledge that some
(between 1pm and 2pm only) regional airlines are very limited on flights, so if
you do not have many options – get in touch
Option 2 – You can catch a bus or train with us either by text 022 247 4783 or email
(arriving into Otaki Station between Midday nzdeafcamp@gmail.com and we can quickly
and 2pm) discuss the flight times on offer.
Option 3 – If you are in Wellington, you can Arriving to Camp
meet the other campers at Wellington Airport
(between 9am and 12pm only) Arrival into Wellington Airport between
8am and 12pm.
Departing Camp
Departing Camp
Option 1 – You can be picked up from camp
(between 12.30pm and 2pm only) Departure from Wellington Airport between
2pm and 6pm.
Option 2 – you can catch a bus or train
(departing from Otaki Station between Midday
and 2pm)
Option 3 – if you are in Wellington you can be
picked up from Wellington Airport (between
2pm and 6pm only)Forest Lakes Camp is 64 kms south of Palmerston North.
Approximately 50 minutes’ drive.
Forest Lakes Camp is 78kms north of Wellington City.
Approximately 1 hour’s drive.Fundraising for Camp
Ideas how to Fundraise for Camp
Here are some ideas on how you can fundraise to attend camp, to support your travel costs.
If you require a letter of support from us to support any fundraising applications, please get in touch.
Sausage Sizzle at
Supermarket /
Warehouse
Raffle donated Make and Sell
items/vouchers things on
from Shops Trade Me
Ask School to Mow Lawns / Do
support you with a Gardens for Family
gold coin mufti day and Friends
Bake and Sell
Cupcakes at School
Also check out www.nzdeafcamp.co.nz as we will put many more fundraising ideas up for you.Hardship Fund Application
We would like all eligible High School Deaf and hard of hearing students to register for this camp -
even those with limited finances. We have set up a Hardship Fund to subsidise some of the costs for
those students with restricted funds to attend the camp.
Applications for the Hardship Fund must meet at least one of the three criteria listed below:
1. Student’s residential home is more than 100 kilometres away from the nearest airport
2. A current quote showing two or more flights from the nearest airport to Wellington and back
3. Student (or his/her family/whanau) has a current Community Services Card
Please note: If the student lives in Manawatu, Horowhenua, Whanganui or Wellington, she/he cannot
apply for the Hardship Fund due to being close to the camp. If the student lives in one of these areas,
please see our Travel Information advisory sheet on how to get to camp or our website for links to
fundraising ideas.
If your student is eligible to apply for the Hardship Fund, complete the form below and return it with
supporting evidence along with the registration form. You will be contacted on the outcome of the
application approximately two weeks after submission.
Name of Student:
Physical Address:
Application for Hardship Fund meets which criteria:
Examples of evidence – proof of student’s residential address (to calculate the distance to
the nearest airport); a quote of two flights or more from your nearest airport to Wellington
Attach evidence to support your application: and back; photo/scan of Community Services Card with student’s name (or parent’s card if
child under 18).
Evidence attached:
By signing this, I certify all the above information is true and correct to the best of my knowledge.
Parent/Caregiver’s full name:
Signature:
Please contact us on nzdeafcamp@gmail.com if there are any concerns, queries or questions
Your application is confidential – Only looked at by the NZ Deaf Camp Committee and will be destroyed at end of NZ Deaf Camp 2019R Checklist – Have you completed?
£ Child’s Personal Details
£ Parent/Caregiver Details
£ Emergency Contact
£ Health and Safety - Child
£ Health and Safety - Camp
£ Transportation
£ Social Media Consent - Signed
£ Signed Consent
£ Code of Conduct – Child to read/discuss and sign
£ Sent your child’s photo to nzdeafcamp@gmail.com or attached to this registration form
£ Have you attached an audiogram to this registration (or emailed to
nzdeafcamp@gmail.com (Only if your child has no RTD/Assist Services)
£ Hardship Application (Optional)
£ Supporting Information for Hardship Application
Registrations Close
September 28th 2018
(or earlier if cap is reached)
Email your Completed Registration (preferred method)
nzdeafcamp@gmail.com
or post to
New Zealand Deaf Camp Committee
van Asch Deaf Resource Centre
C/- Newlands College
P O Box 26079
Newlands
WELLINGTON 6442You can also read
