Further Enquiries

School of Earth & Environmental Sciences
The University of Adelaide
SA 5005
AUSTRALIA
Email

General Enquiries:
+61 8 8303 3999

Student Enquiries:
+61 8 8303 5673

Facsimile:
+61 8 8303 6222

Where to Find Us

Third Year Course Field Trip Form

As outlined in the University Field Trip Policy, the University (here represented by the staff co-ordinating the field trip) has an obligation to provide a safe environment for its students. You also have a responsibility to yourself and other students to take reasonable care, to comply with all instructions, to behave sensibly and to provide for yourself all necessary materials and equipment while on field trips and excursions.

All undergraduate students undertaking a field excursion or a field trip as part of their course work must READ and UNDERSTAND this form and TICK the Acknowledgement boxes. Students are required to submit this form two weeks prior to all field trips or excursions that they take part in during the course of their study. If you have not submitted this form you will not be permitted to participate in the trip. Please contact Debra Miller if you have any queries.

Please note: Some field trips may involve overnight stays and you may have free time outside the program of scheduled activities. What you choose to do during your free time is at your own risk but the University does still expect you to behave sensibly and responsibly.

Safe Behaviour Guidelines

The following guidelines are for your personal safety. You will be expected to observe all of them. Failure to comply with the guidelines may result in you returning to Adelaide at your own expense.

Wear adequate (sturdy) footwear.
Wear suitable clothing for any possible weather conditions prevailing.
Obey directions from field supervisors.
Behave in an orderly manner.
Safety vests are required to be worn when near road and for Leaders in charge of a group.
Safety glasses and hard hats must be worn when required.
Do not leave the group or campsite without obtaining permission from the supervisor.
Stay clear of unprotected cliff edges, mine shafts, quarry faces and open slopes.
Be mindful of passing traffic when making a roadside stop.
Rolling or tossing rocks, e.g. down inclines or off cliffs, is forbidden.
Do not enter wave-washed platforms along the coastline.

* required fields

Student and Trip Details
* Name:
* Student ID:
* Date of Birth:
Note: If you are under 18 years of age at the scheduled trip, you will be required to complete a hard copy of this form, which must be signed by a parent/guardian: Field Trips & Excursions Acknowledgement Form Hard Copy The completed form must be returned to Debra Miller.
Mobile Phone Number:
Course Name:
Fieldtrip Destination:
* Date of Fieldtrip:
Medical Information (Medical information will be kept confidential with EES field trip admin staff and your trip leader. Please contact Debra Miller if more information is required)
* Do you have any known medical condition (including allergies) that may affect your health and safety on any field trip?	YES NO
Nature of condition and possible symptoms that might be observed:
Do you carry any special medication or medical equipment?	YES NO
If yes, what is the medication, and where can it be found if needed?
Emergency Contact Details
* Name of your next of kin/relative or friend who can be contacted in emergency:
* Phone no(s):	home: work: mobile:
Other Information
Do you have special dietary or other requirements for medical or cultural reasons?	YES NO
Provide details:
Additional Information (as required)
Please indicate your preferences in response to specific options that may have been outlined by your Fieldtrip coordinator (such as accommodation arrangements):

I hereby acknowledge that all of the information provided above is true and correct. I acknowledge that I have read the Safe Behaviour Guidelines (above) and shall not intentionally cause any concern regarding my health and safety, or that of fellow participants. I give my permission to receive medical treatment from the nearest doctor at my expense should I be injured or become sick. (Note that accident insurance is provided for students and details are available from the Student Union).