GERRIC Student Program Application September 2017

When: 26 - 28 September 2017
Where: UNSW Kensington Campus

Please ensure that you have selected the correct workshop for your child's age, GERRIC will check the age of your child is consistent with your application.

*please note if homeschooled

Note - Please refer to the GERRIC website for explanations.
It is not necessary to attach test results or other evidence of selection criteria to your application. However, please be prepared to provide it if asked by GERRIC.

PAYMENTS: Program fees are $365 (including GST). Payment (via credit card) will be made online ONLY if your child is placed in a workshop. Further information and instructions will be emailed to you regarding placement and online payment processes. Please ensure that your email address is correct to enable us to communicate this information to you. Payment will be via the Eventbrite website, and information will be sent out to those students placed in a workshop.

Instructions: Please read the workshop descriptions for the appropriate age level on our website, select your workshop choices in order of preference. To assist with securing a placement, please nominate three preferences. It is important you ONLY list workshops you are willing to attend, whilst every effort is made to place your child in a workshop that is their first choice, in order to place every child in the program they may have to attend a workshop of their third choice. No refunds are given for change of mind. All workshops last 3-days and students can not be placed in more than one workshop.

If yes, please provide a personalised management plan (including a colour photo) available at and In order to be placed in a program these need to be emailed to

If yes, please provide a personalised management plan (including a colour photo) available at and In order to be placed in a program these need to be emailed to

To assist our presenters in preparing for the program, please specify any other information you think is important to note.

By checking this box, I understand I will be taken to have signed for consent under section 9 of the Electronic Transactions Act. I indicate my intention to be bound by the terms and conditions and refund policy outlined at and I understand the placement process and conditions. I understand that it is my responsibility to make sure the applicant meets the selections criteria. I give permission for UNSW staff to administer first aid or request an ambulance (at my expense) for my child in the case of a medical emergency.

If yes, please respond to the next question.

Please include how your child will be leaving. If your child is taking public transport, please specify the route number.

Parent/guardian on behalf of child

I agree to THE UNIVERSITY OF NEW SOUTH WALES (“UNSW”), including its related entities and agents, video and audio recording, filming and/or photographing my child including recording my child's voice, (“my child's Appearance”) and publishing, promoting, distributing and exploiting my child's Appearance, for UNSW’s educational, promotional and editorial purposes.

I further agree that UNSW may use and re-use and allow others to use, my child's name, voice and likeness in part and in composite form and in any current or future medium, including but not limited to print, electronic and broadcast media.

All rights in my child's Appearance and any rights in the recording throughout the universe in perpetuity in any and all formats and media now known or hereafter devised shall belong to UNSW to use as it wishes.

I warrant that any statements made by my child during their Appearance are to the best of my knowledge true and that neither those statements nor my child’s Appearance will violate or infringe upon the rights of any other person or entity.

I waive any and all rights of attribution and any and all rights to inspect or approve the finished photographs, video, audio, printed or electronic matter that may be used in conjunction with them now or in the future, whether that use is known to me or unknown, in connection with any use of the rights granted above relating to my Appearance. I waive any right to royalties or other compensation arising from my Appearance.

As part of the 2017 September GERRIC Student Programs, your child's workshop may require the use of UNSW Wifi on GERRIC-provided iPads.

The workshops will run from Tuesday September 26 - Thursday September 28, inclusive.

For your child to use UNSW Wifi, as a Parent/Guardian, you are required to agree to the Acceptable Use of IT Resources policy on their behalf. No student will be permitted to use UNSW Wifi without their Parent/Guardian first accepting the policy.

Access to UNSW Wifi is made available for teaching, research, administrative and other specifically authorised activities. UNSW reserves the right to limit access to its networks. By accessing the Wifi network you explicitly agree to abide by the conditions of the ”Acceptable use of UNSW IT Resources” policy, accessible here:

Please ensure your children are aware of the terms and conditions outlined in the policy. Student usage will be recorded against their name, and records of their use will be stored for 7 years.

Do you accept the policy?