Mob Pack Holiday Notice Parents Consent Form Scouts Queensland
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1THE SCOUT ASSOCIATION OF AUSTRALIA, QUEENSLAND BRANCH INC.
Form: C3
Issue: 07
MOB/PACK HOLIDAY NOTICE
Date:
10/14
(For use by Joey Scout Mobs and Cub Scout Packs)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . MOB / PACK
Dear Parent
Our Mob/Pack will be going on a Mob/Pack Holiday at . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
from . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . to . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
We will assemble at . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
at . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (time) and return at . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (time)
Total Fee including fares is $ . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . which must be sent to the Leader with this form
signed by you, by . …. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Uniform will be worn to and from the Mob/Pack Holiday
site.
(date)
WHAT TO SEND: Blankets, sheets and pillow case OR sleeping bag, pyjamas, 2 pairs old shorts, 2 old T-shirts, 2 pair
sandshoes (NO THONGS), 2 pair socks, 2 changes underwear, handkerchiefs, 2 towels, swimming togs, jumper, rain
coat, old hat, drawstring bag containing knife, fork, spoons, tea towel, 1 dinner plate, 1 soup/dessert plate and mug
(unbreakable), toilet bag containing soap, comb, sunscreen, toothbrush and paste, large paper or plastic bag for keeping
uniform clean when not being worn (optional), plastic bag for wet clothes, torch (optional).
All items MUST be marked with owner's name and packed in a suitcase, roll or haversack.
THE FORM BELOW MUST BE COMPLETED BY PARENT OR GUARDIAN AND
RETURNED TOGETHER WITH FEE BY ABOVE MENTIONED DATE
--------------------------------------------------------------------------------------------------------------------------------------------------------------
I approve of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Child's Name)
Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
attending the Mob/Pack Holiday from . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . to . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
should the necessity arise, I can be contacted at . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . Phone (. . . . . .) . . . . . . . . . . . . . . . . . .
Medicare Number . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Is special medication or diet needed? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Date of last tetanus injection? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Legislative requirements prevent under 9 years of age using a top bunk. If your child is 9 and over, is your child permitted
to sleep in the top bunk of double deck bunks? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
May your child swim? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Can your child swim? . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Confidential
- Details of the Child's health, habits or faith requiring special attention: . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. .. . . . . . . . . . . . . . . . . .
In the event of injury to the Youth Member, where reasonable attempts to contact me are unsuccessful I give authority for
such medical treatment to be given to the youth member as is recommended by a medical practitioner and seems in the
opinion of the leader in charge to be reasonable and appropriate. I undertake to be responsible for any fees or charges
with respect to that treatment and to pay those costs on demand by the Association.
Signature of parent or guardian . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Date: . . . . . . . . . . . . . . . . . . . . . .
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