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Pupil Options Form

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Activities Week 2012 Options Code Activity Duration Details Learn to animate using a variety of techniques and produce your own animated film Lead Teacher ANI Animation Two Days BOR Borders Cinema Trip CAM Mr Cramb Free One Day Travel to the Borders to see the latest blockbuster. Mrs Blakey £8.00 Camera Obscura One Day Travel by train and visit the Camera Obscura – one of Edinburgh’s most popular tourist attractions Dr Voge £12.00 CLA Clay Sculpture Two Days Learn how to make a ceramic/clay figure, and produce your own sculpture. Mr Fulton £8.00 CHS Chess One Day Learn to play chess or develop your chess skills. Mr Middler Free CEX Cooking Two Days Enjoy a cooking experience Mrs Hogg £3.00 CY1 Cycling 1 One Day Ms Balsillie Free CY2 Cycling 2 One Day Ms Balsillie Free DIG Digital Photography One Day Mr Lanyon Free DIR A Day at Dirleton Castle One Day Ms Morris £4.50 DSW Deep Sea World One Day Take the train to North Queensferry and enjoy a day at Deep Sea World Ms Pique £16.00 EDI Edinburgh Day Out One Day A big day out in Edinburgh, including a 1 hour guided bus tour. Lunch at Princes Mall and an afternoon’s shopping. Ms Jegat Ms Mercer £8.00 FIL Film Making Four Days Work with a team to plan, crew, make and edit a real live film! Ms Marr £10.00 FLI Flight School One Day Ms McClean £2.00 GO1 Golf 1 One Day GO2 Golf 2 One Day GO3 Golf 3 One Day GO4 Golf 4 One Day GOT Gothic Edinburgh Three day A day’s cycling to Haddington along the old railway track. You need your own bike, helmet and a rucksack carrying a drink and a packed lunch A days cycling to Musselburgh along the cycle path. You need your own bike and helmet. A rucksack carrying a drink and a packed lunch. Learn how to take better photos – bring your own camera or borrow one of ours What secrets does Dirleton Castle hold? Join this trip for a historical adventure. Make and test different types of paper aircraft and try to understand why they fly. Then build a water powered rocket and watch it shoot into the sky! Play a round of golf at one of the local clubs. You must be able to provide yourself with a set of clubs and be able to get round 18 holes competently! Play a round of golf at one of the local clubs. You must be able to provide yourself with a set of clubs and be able to get round 18 holes competently! Play a round of golf at one of the local clubs. You must be able to provide yourself with a set of clubs and be able to get round 18 holes competently! Play a round of golf at one of the local clubs. You must be able to provide yourself with a set of clubs and be able to get round 18 holes competently! "Do you like walking on graves? Do you hate smiling? Do you enjoy being scared; or scaring others? Visit some of Edinburgh's spookiest places; experience and learn about Edinburgh's gory and gruesome past; feel the horror..." Cost Mrs Pike See Mrs Pike Mrs Pike See Mrs Pike Mrs Pike Mrs Pike Mrs Cowan See Mrs Pike See Mrs Pike £20.00 HOT Hot Air Balloons One Day Learn why things float in the air, build a 1 metre high hot air balloon and then watch it float into the sky! Ms McClean £2.00 JEW Jewellery Making One Day Design and then make your own beaded or charm jewellery Ms Nisbet £6.00 M&D M & Ds Trip One Day Students will travel by coach to M&Ds Theme Park for a day of fun! Mr Rose £15.00 MKC Mary Kings Close & Cinema One Day Visit Mary King’s Close in the morning, have some free time, lunch and then visit the cinema in the afternoon Ms Welsh £12.00 MUM Murder Mystery Day One Day Take on the role of Poirot and investigate the crime to find the murderer Mr Dorrian £4.00 MW1 Music Workshop 1 One Day Miss Lugton Free MW2 Music Workshop 2 One Day Miss Lugton Free MW3 Music Workshop 3 One Day Miss Lugton Free MW4 Music Workshop 4 One Day Miss Lugton Free QCR Quiet Crafts One Day Miss Patterson £5.00 RCK Rock Climbing One Day Mr Tracey £22.00 RMU Royal Museum Visit One Day Ms Morris £5.00 SBU Secret Bunker One Day SEA Sea Fishing One Day SK8 Skate Park Trip One Day SP1 Sports 1 One Day SP2 Sports 2 One Day SP3 Sports 3 One Day SP4 Sports 4 One Day SUR Surfing One Day Don your wetsuit and pick up your board for a day’s surfing Mrs Allan ZOO Zoo Trip One Day Catch the bus to Edinburgh Zoo for the day and see the pandas! Mrs Mercer Work in small bands producing your own music, as well as having some time on Guitar Hero for relaxation! Work in small bands producing your own music, as well as having some time on Guitar Hero for relaxation! Work in small bands producing your own music, as well as having some time on Guitar Hero for relaxation! Work in small bands producing your own music, as well as having some time on Guitar Hero for relaxation! On each day students will participate in 3 workshops, learning how to make dream catchers, friendship bracelets and plaster cast models Bus to Ratho to visit the world’s largest Indoor Climbing Arena for a rock climbing session with professional instruction A visit to the Royal Museum of Scotland with a special visit to the Egyptian section and the opportunity to handle Ancient Egyptian artefacts Travel by coach to the Secret Bunker in Fife – the old underground headquarters for the British Government in the event of a nuclear conflict. Board a boat from Dunbar for a day’s sea fishing plundering the sea to return ashore with tales of mermaids and the one that got away Skate, blade and BMX on ramps at Transgression. Safety equipment needed, but this can be hired. 4 hour session Students will select from a wide range of sports – each session is likely to be different Students will select from a wide range of sports – each session is likely to be different Students will select from a wide range of sports – each session is likely to be different Students will select from a wide range of sports – each session is likely to be different Ms Todd £12.00 Mr Bell £26.00 Mr Bell £20.00 Mr Bennion Free Mr Bennion Free Mr Bennion Free Mr Bennion Free £25.00 + bus fare £12.00 Option Choices Instructions 1. Carefully read the list of activities on offer 2. Select 6 activities that you would like to do. If you would like to do an activity more than once then you must write it down for the number of times you would like to do it 3. Put them into an order with your most favourite as No.1 and least favourite as No.6 4. Write the code and cost for each activity in the table below 5. Add up the costs and get your parent / carer to sign the form 6. Complete the PC1 form (back of this sheet) and get your parent / carer to sign it 7. Return this form to your register teacher or the school office by the 28th March 2012 PUPIL CHOICE Activity Code Example Choice No. Activity Code Cost 1 1 SP1 Free 2 2 DIG Free 3 3 MW1 Free 4 4 SBU £12.00 5 5 QCR £5.00 6 6 CY1 Free Total Cost £17.00 Choice No. Total Cost Cost Note: The total cost is guidance to parents/carers to show the total cost of all 6 activity choices. Ultimately students will only be allocated to 4 of these. Parental Agreement I agree with this selection of activities and, where necessary, I am happy to pay for the final combination of choices that my child is offered. Print Parent / Carer’s Name Parent / Carer’s Signature Date Please make sure you have completed the PC1 form overleaf EAST LOTHIAN COUNCIL DEPARTMENT OF EDUCATION AND CHILDREN’S SERVICES PARENTAL CONSENT FORM (PC1) ACTIVITIES WEEK 2012 Name of participant: Contact Details for Parent/Guardian: Home Address: Dates: 25TH – 28TH June 2012 (inclusive) Date of Birth: Tel Home: Tel Work: Tel Mobile: Alternative Telephone Number for use in emergency: If you won’t be at this address for the duration of the trip please ensure we have alternate contact details In the event of an emergency, it is important that the person in charge of the group has the necessary information about any medical condition that could affect the participation or treatment of your child/ward. All information requested will be treated in strict confidence, and will not necessarily prejudice the inclusion of your child in the activity. It is in the interests of your child that full and accurate information be given and that you notify us of any change in circumstances that might affect participation. Does your child/ward have any medical issues we should be aware of, e.g., asthma/diabetes/allergy to penicillin etc. Do they require any regular medication? If your child/ward is currently undergoing treatment by a Doctor please give details Has your child/ward had recent surgery or been in contact with any infectious or contagious disease? Has your child/ward received a tetanus injection within the last ten years? Y/N Is there any additional information we should have to help us care for your child? (Travel sickness, bedwetting, diet, etc.?) Name of Family Doctor: Address: Tel No: Is there any activity in which your child may NOT participate? For water-based activities only: I certify that my child/ward cannot swim / can swim 50 metres / is/isn’t confident in cold water wearing a buoyancy aid. (Ring as appropriate) Insurance Information East Lothian Council Public Liability Insurance will meet claims resulting from accidental injury or damage to property if it is proved it was caused as a result of negligence on the part of the Council or a Council employee. Participants wishing to obtain cover for personal accident and Third Party Liability are advised to contact an insurance company or broker. Declaration I have read the information issued concerning the Course and the statement of insurance. I understand the nature of the activity/activities to be undertaken and consider my child/ward fit to take part. He/She does not suffer from any medical condition not stated above. I hereby consent to the submission of the above named to emergency medical or surgical treatment including the administration of anaesthetic or blood transfusion as considered necessary by the medical authorities present. Name (Block Capitals): Parent/Guardian: Signature: Date: