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Year 10 HPE Activity Details

The document provides details for a student's participation in a Year 10 HPE program from May to June including activities like archery, squash, roller skating and ten pin bowling. It also includes a medical information section to ensure any conditions are managed but no student will be excluded without medical advice. No payment is due as the total amount and amount due are both $0.

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46 views1 page

Year 10 HPE Activity Details

The document provides details for a student's participation in a Year 10 HPE program from May to June including activities like archery, squash, roller skating and ten pin bowling. It also includes a medical information section to ensure any conditions are managed but no student will be excluded without medical advice. No payment is due as the total amount and amount due are both $0.

Uploaded by

api-476870848
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Moschetta YEAR 10HPE - 13/5/2019, 20/5/2019, 27/5/2019, 3/6/2019, 13/6/2019,

20/6/2019. Archery, Squash/roller Skates, Ten Pin Bowling

Payment & Medical Information


Student Name: HG:

PAYMENT DETAILS

Deposit amount: NA Deposit Due: NA Total $0 Total Due: $0


Amount:

MEDICAL INFORMATION
Information contained in this section is necessary to ensure that the student’s medical conditions are properly managed,
however, no student with special needs will be excluded unless on medical advice.

DOES YOUR CHILD HAVE ANY OF THE FOLLOWING MEDICAL CIRCLE ANSWER FURTHER INFORMATION OR
CONDITIONS? SPECIAL INSTRUCTIONS IF
MEDICATION REQUIRED,
SEND WITH STUDENT

CONVULSION / SEIZURES YES/NO

ASTHMA OR OTHER CHEST PROBLEMS YES/NO

ALLERGIES (EG Bee Sting) YES/NO

DIABETES YES/NO

VISION/HEARING PROBLEMS YES/NO

EAR DISORDER (EG Drainage tubes) YES/NO

DERMATITIS YES/NO

OTHER RELEVANT CONDITIONS (eg ADHD) YES/NO

MEDICATION (eg any current medication) YES/NO

EMERGENCY CONTACTS:

Name: ________________________________________ Relationship to child:__________________________

Phone: ________________________________________

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