VENUE:Nymboida Canoe Centre, Nymboida River and Clarence River Grafton.

DATES:Saturday 28 May – Flatwater Event (Grafton Rowing Club, Prince Street, Grafton)

Sunday 29 – Tuesday 31 May 2016 – Slalom White Water and Wild Water Events (Nymboida River)

ENTRIES:Entries Close on Friday 6 May 2016

NO LATE ENTRIES ACCEPTED

Permission Notes and Entry Fees MUST accompany entries.

Cheques etc payable to NSW CHSSA

Address all enquiries to:

Mellissa Ellis (Canoeing Convener)Telephone:66187629
Fax:6618 7629

Email:

All enquiries are to go to Melissa Ellis.

Minimum Standard:

Students from all regions are free to enter. Schools are requested to ensure that students entering the Championships are proficient in paddling and maneuvering their craft in RUNNING WATER, can capsize and exit their boat wearing full gear (including spraydecks) and get themselves, their boat and paddle safely to shore without assistance. The convener reserves the right to withdraw from competition any student who is deemed not to meet these minimum requirements. Please note that it is a requirement of the NSW Department of Education that all competitors MUST WEAR PFD, helmet and suitable footwear to ALL events including flatwater. Schools are also requested to ensure that all competitors (and other personnel) are abundantly supplied with protection against the cold, wet conditions, which can occur at this time of the year.

Age Divisions: The age attained in the current year is the competitor’s age division.

EVENTS: / AGE DIVISIONS:
Slalom
Wildwater (Downriver)
Whitewater Sprints
Flatwater Sprints
Freestyle*
* Conditions Permitting / 12 Years and Under
14 Years and Under
16 Years and Under
17 Years and Over - Open

Costs: $30.00 per competing student regardless of the number of events entered. Junior paddlers (Primary School) may approach the Convener re reduced entry fees if they are entering less than three events). This money MUST be sent to the convener with entry forms and permission notes. There may also be other charges applicable. Practice costs at the Canoe Centre are the responsibility of individual paddlers.

Forms:Permission and age verification forms along with entry forms are attached. All MUST be sent to the convener by Friday 6 May 2015.

There are six pages of information/entry forms relevant to these championships:

Pages 1 and 2 (This information)

Page 3 (Permission Note and Age Verification Form)

Pages 4, 5 and 6 – Entry Forms Flatwater Sprints Entry, Slalom, WW and WW Sprints Entry and Teams and Freestyle Entry.

Course Rules:

General training and practice will only be allowed when supervised by the team manager or personnel appointed by the convener. Unsupervised students will not be permitted on the water at any time. The slalom course will be available for supervised practice, but will be closed from the completion of this until the end of the Slalom competition.

Competent rescuers MUSTbe in position at all times during any practice/training session. This will be the responsibility of the team managers. Paddlers using the WILDWATER Course MUST be in supervised groups.

The responsibility of ensuring all safety requirements are met rest with the Team Manager or teachers in charge of competing teams. Particular care must be taken to avoid any danger from hypothermia due to immersion in cold water. Failure to comply with safety requirements will result in disqualification of individual paddlers of the school concerned. During competition team managers will be asked to provide safety personnel.

Team Managers and Schools are responsible for the supervision of their students at all times. DUTY OF CARE – only TEACHERS can provide duty of care for students. A parent accompanying THEIR CHILD may take DUTY OF CARE for their child only.

All paddlers and officials should make themselves aware of, and familiar with the NSWCHSSA Handbook Section on Canoeing – 6.5.2

Accommodation:

Accommodation is the responsibility of team managers and paddlers. The Nymbodia Canoe Centre has basic cabin accommodation with communal cooking facilities and unpowered camp sites. The nearest motel to the Canoe centre is the ‘Coaching Station’ at Nymbodia. There are a number of motels and caravan parks in Grafton.

PROGRAM:

To be advised.

CANOEING

NSW COMBINED HIGH SCHOOLS SPORTS ASSOCIATION CHAMPIONSHIPS

2016 Permission Form and Age Verification

SPORT: / NSWCHSSA and ALL SCHOOLS CANOEING CHAMPIONSHIPS
DATE: / SATURDAY 28 – TUESDAY 31 MAY 2016
VENUE: / NYMBOIDA CANOE CENTRE, NYMBOIDA RIVER AND CLARENCE RIVER GRAFTON

Student Details (Please print clearly)

Student Full Name:______Current Yr at School ______

Parents/Caregiver Full Name: ______

Address: ______Postcode: ______

School: ______Date of Birth: ______Age this year: ______

Phone:(Student’s mobile) ______(Parent’s mobile) ______(Home / Work) ______

Email : ______

Medical Details

Medicare Number: ______Exp Date______

The date of my child’s last tetanus injection was: ______

My child is allergic to: ______My child is required to carry an EpiPen: YES / NO.

Does your child have an ASCIA action plan? YES / NO. If YES a copy must be attached to this consent form.

Please detail any medical or special needs which the team manager should be aware of, existing illnesses, allergies or medication, including any behaviour management or other specialised plans. (copies of plans to be attached).

______

______

Please state any previous or existing illnesses or allergies that the organizers should be aware of and any medication that the competitor may be taking.

……………………………………………………………………………………………………………………………………

Important Information: In the event of injury, no personal injury insurance cover is provided by the NSW Department of Education for students in relation to school sporting activities, physical education lessons or any other school activity. The Department’s public liability cover is limited to breaches by the department in its duty of care to students that result in claims for compensation.

Parents and caregivers are advised to assess the level and extent of their child’s involvement in the sport program offered by the school, school sport zone, region and state school sport associations when deciding whether additional insurance cover is required. Personal accident insurance cover is available through normal retail insurance outlets.

Parents who have private ambulance cover need to check whether that cover extends tointerstate travel and make additional arrangements as considered appropriate.

The NSW Supplementary Sporting Injury Benefits Scheme, funded by the NSW Government, provides limited cover for serious injury resulting in the permanent loss of a prescribed faculty or the use of some prescribed part of the body. The Supplementary Scheme does not cover medical expenses or dental costs .Further information can be obtained from information regarding student accident insurance and private health cover is provided at:

http://www.sports.det.nsw.edu.au/spguide/activities/general/resources/protection.php#medi

  1. Travel Details - Tick ( ) the appropriate box.

My child WILL travel privately with ______to and from the Championships.

My child will be staying with the person listed below at the given address.

Name:______

Address:______

Post Code: ______Mobile Phone No.: ______

Relationship to Student:______

I understand that the responsibility for the welfare and conduct of students not being billeted (outside of school hours) rests with the nominated person.

Please indicate by circling: I CAN ASSIST WITH THE FOLLOWING DURING THE CHAMPIONSHIPS: ( GATE JUDGING / STARTS / FINISH / TIMING / COMPILING / HOSPITALITY / PRESENTATIONS / BODY NUMBER ISSUE / RESULTS BOOK / OTHER )

  1. Privacy Notice

The personal information provided on this permission note, will be used and disclosed by the Department of Education for general administration, communication with parents or carers and matters relating to the health safety and welfare of your child in connection with your child’s participation at this event or for any other purpose required or permitted by law. The provision of this information is voluntary but your child may not be able to participate if it is not provided. This information will be held securely and disposed of securely when no longer needed. You may correct personal details recorded on the form at any time by contacting the team management.

Publishing student information: The Department of Education may publish or disclose information about your child for the purposes of sharing his/her experiences with other students, informing the school and broader community.

This information may include your child’s name, age, information collected during this event such as photographs, sound & visual recordings of your child.

The communications in which your child’s information may be published or disclosed include but are not limited to:

  • Public websites of the Department of Education including the School Sport Unit website at www.sports.det.nsw.edu.au

the Department of Education intranet(staff only), blogs and wikis

 Department of Education publications including the school newsletter, annual school magazine and school report, promotional material published in print and electronically including on the Department’s websites

  • Official Department and school social media accounts on networks such as YouTube, Facebook and Twitter.
  • Local and metropolitan newspapers and magazines and other media outlets.
  • Parents should be aware that when information is published on public websites and social media channels it can be linked to by third parties and may be discoverable online for a number of years, if not permanently. Search engines may also cache or retain copies of published information.

Permission to publish: I have read the information about disclosing and publishing student information(above) and

I give permissionI do not give permission

for the Department to publish and disclose information about my child in publicly accessible communications. This permission remains effective until I advise otherwise.

SIGNED: ______/ / 2016

(Parent/Caregiver) (Date)

  1. Principal’s Declaration
  • I certify that the student whose details appear on this form is enrolled at this school.
  • I have verified that the date of birth as stated on this form is correct.
  • He/she has the school authority to represent on this occasion.
  • A copy of this consent form will be retained by my school.
  • I certify this student has / has not parental / caregiver permission to publish as stated in the ‘Publishing student information’ above

SIGNED: ______/ / 2016

(Principal)(Date)

NOTED BY: ______/ / 2016

(School Sports Organiser) (Date)

Parental Consent

  • I have read the information issued and I hereby consent to my child participating in this event.
  • I understand that my child will be under the supervision of Team Manager/s and will not be allowed to visit friends or relatives without my written permission and that of the Team Managers.
  • I have sighted the enclosed Code of Behaviour and agree that if my child/ward seriously contravenes behavioural expectations, he/she may be immediately excluded from the team. Should this eventuate, I accept full responsibility for my child/ward upon notification of his/her exclusion by the team manager including the cost of return transport and accommodation.
  • I understand in having a child represent this Association, I may be asked to billet a visiting student in the future.
  • In the event of any accident or illness, I authorise the obtaining, on my behalf, an ambulance and any such medical assistance that my child may require. I accept full responsibility for all expenses incurred.
  • To assist team management at the Carnival and to the best of my knowledge, my child has no medical condition or injury that places them at risk in participating in this sport activity.

SIGNED: ______/ / 2016

(Parent/Caregiver) (Date)

All entries to Melissa Ellis (cc other relevant parties) at;


/ All levies and signed consent forms will need to be sent to;
Jenny Warren - Lismore Education Office
Locked Bag 4029, GOONELLABAH 2480
Or Fax 02 6623 5941