I Want To Join/I Want My Son/Daughter To Join

Section:
SCOUTS INFORMATION
Name: DOB: // Gender:
Address: School:
Home Tel:
Emergency:


Post Code: Faith:
Special Needs - Dietry, Medical (including allergies), Other: Other Clubs/Interests:
PARENT INFORMATION
Parent 1: Parent 2:
Hobbies: Hobbies:
Email: Email:
Mobile: Mobile:
Willing to help on the Parents Rota: Willing to help on the Parents Rota:
Willing to join our fund raising committee: Willing to join our fund raising committee:
Interested in becoming a Leader or Helper: Interested in becoming a Leader or Helper:
MEDICAL INFORMATION
Doctors Surgery:
Do we have your consent to use a standard First Aid kit for general accidents?
MEDIA AND DEVELOPMENT
LEAFLETS SCOUTING WEBSITES DISTRICT / COUNTY PROMOTION SCOUTS HQ
 
Name of Person Completing This Form: Email:Tel:
Please Type Exactly What You See In The Box: