Yr 5 MiCamp

MiCamp, Lake Taupo 

from Thursday, May 2,  2019, to Friday, May 3, 2019, in week 1 of Term 2. 

The cost per student is $80. Please pay to the office or via internet banking 03-0418-0145370-00 referencing your child’s surname and MiCamp.

100 Rawhira Road, Waitetoko, Lake Taupo, State Highway 1, New Zealand

Telephone: (07) 386 7967 Fax. (07) 386 0169 

Email: bookings@micamp.co.nz Website: http://www.micamp.co.nz/lake-taupo.html 

Student Details

Student Name
Address
Age Details
Medical Contact Details
Primary Emergency Contact
Second Emergency Contact

Medical History

Please answer all questions & provide additional details where appropriate
Regular medication?
Does your child require any regular medication?
Details
Illness
Does your child have any illness?
Details
Medical Concerns
Does your child have any medical concerns that may affect participation in activities
Details
General Medical
Has your child had a full programme of tetanus injections?
Has your child had flu within the last two weeks?
Has your child had any recent ear problems?
Does your child have physical or intellectual disability?
Does your child have a problem with bed wetting?
Does your child suffer from homesickness?
Is your child allergic to any substances?
Details
Is your child allergic to bee stings?
Does your child have any dietary requirements?
Details
Can your child swim?
Is your child confident in deep water?
I approve of my child attending MiCamp, Lake Taupo and they are able to participate in all presented activities.
MiCamp, Lake Taupo staff will provide full safety briefings to all participants.