school holiday program consent form

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Botanic Gardens of South Adelaide
January 2015 School Holiday Program
The Botanic Gardens of South Australia will be running school holiday activities suitable for 5-12 year olds during January.
Activities are designed to promote fun, hands on learning about plants, people and the environment and they all take
place under the shade on Plane Tree Lawn (or in the Bicentennial Conservatory during inclement weather). If in doubt,
please contact the Botanic Gardens on 8222 9311 the morning of the activity.
No need to book but Parental supervision essential.
SLOW SUMMER PROGRAM
In anticipation of a long, hot summer we’ll be slowing down under the shade on Plane Tree Lawn from 10am – 2pm. You
can paint a pot and plant some seeds, or paint a garden gnome (priced from $7). PLUS…
We’ll have great range of different activity choices popping up from 11am as well as free garden adventure maps and
ideas.
Please note: Activities are available while stocks last. Smocks and gardening gloves are available to painters and potters.
Check out the timetable below for a daily rundown and refer to the blackboard on the day for more info…
More about Pop Ups…
Fake Fossils ($6) Excavate a fossil block to discover all kinds of fake fossils like trilobites, ammonites, dinosaur teeth and
more. Ask us for a garden adventure map to discover some of the Gardens ‘dinosaur‘ plants.
Bug Plaques / Plant Markers ($7) Paint a decorative plaque to mark the location of your favourite plants.
Hanging Shells / Sea Stars ($8) Paint a hanging sea themed decoration, perfect for the garden.
Compost Critters (FREE) Have a dig around in our compost pit and use your magnifying glass to explore the critters that
call the compost heap home.
Cactus! ($12 Lg /$10 Med /$6 Sml) Paint a pot and plant a cactus or succulent. Ask for a garden adventure map to
discover the Cactus Garden.
Plant heads ($6) Plants can grow in some crazy places! Use a stocking, pipe cleaners and other fun stuff to create a
head or animal that will grow real plant ‘hair’. Ask for a garden adventure map to discover some plants growing in crazy
places!
Making Fire, Making Glue (1 Hour) Free
Learn how Aboriginal people make fire using just what is around them in the Australian bush. Make your own glue from
plants! Meet on the Schomburgk Pavilion if it is too hot or raining it will be held in the Lecture Theatre of the Goodman
Building, Adelaide Botanic Garden – no bookings required.
Date
10am – 2pm
10.30am -11.30am
11am – 2pm
Tues 13th January
Paint a pot, plant some seeds
/ Garden Gnomes
Making Fire, Making Glue
Pop Ups… Fake Fossils,
Hanging Shells / Sea Stars
Fri 16th January
Paint a pot, plant some seeds
/ Garden Gnomes
Thurs 22nd January
Paint a pot, plant some seeds
/ Garden Gnomes
Pop Ups… Bug Plaques /
Plant Markers,
Compost Critters
Making Fire, Making Glue
Pop Ups… Cactus!,
Plant Heads
Note to parents
Activities are available to all school-aged children only. Numbers per group are strictly limited. Vacation care groups can
make discounted group bookings by contacting the Botanic Gardens of Adelaide on 8222 9311.
BOTANIC GARDENS OF SOUTH AUSTRALIA
SCHOOL HOLIDAY PROGRAM CONSENT FORM
Surname
Child’s name
Child’s home address:
Suburb:
Home Phone:
D.O.B __________________
Postcode
Parent/Guardian:
Telephone work:
Mobile:
Parent/Guardian:
Telephone work:
Mobile:
Emergency Contacts
Name
Relationship to child
Telephone contact
Name
Relationship to child
Telephone contact
Usual Medical Attendant
Address
Telephone number
_______
Where a child is taking or may require medication, please notify staff. All medication must be given directly
to a staff member and medication must be written in the medication book. Please list any allergies or specific
medical conditions from which your child may suffer. Include any information about medication your child
may require. If your child suffers from Asthma or any serious allergies please ask staff for a management plan.
Please give any details of any access/custody details that may affect your child. Copies of any relevant
Court Orders must be supplied.
Does your child have any special needs that you wish us to be aware of?
Parent’s name:
Signature:
Date:
Please list ALL Botanic Gardens activities your child will be participating in these school holidays:
Date: ______________Activity___________________________________________________________
Date: ______________Activity___________________________________________________________
Date: ______________Activity___________________________________________________________
Occasionally the media visit the gardens to film the School Holiday Program. Your child may have their photo
taken for use in media or other promotional activity undertaken by the Gardens. Do you consent to this?
YES / NO (please circle)
Signature__________________
MAILING LIST
To receive information regarding future School Holiday Programs in the Botanic Gardens, please provide your
email address: ____________________________________________________
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