STENEK HA’N MOR DISTRICT

ACTIVITY FORM 

Information and Consent.

This part to be kept by Parent/Guardian.       Please use Black ink.

 Please return the lower section of this form completed and signed to the leader.

Name of section……………………………..

Proposed Programme for; - Beaver, Cub, Troop, Explorer Scout, Network, District, and County events.

 Home Contact Tele No. either GSL /DC/ ADC will be confirmed before an event.

                                    GSL Paul Smith            077 66 140 589

                                    DC   Simon Bonney      01872 271252

 Start 6-00pm………………………Leaders Paul Smith, Natasha Smith, Stephen Lee 

Finish 9-15pm……………………………                 

Unless previously informed.                                          

Cost subs £2.00. per week

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This part to be returned to the leader.

Parent or Guardian’s consent

 I GIVE PERMISSION FOR…………………………………………(name of Scout)

To take part in some/all of the proposed activities as listed on the programme between the current term dates of 1/10/06 30/04/07 AND FOR PHOTOS TO BE TAKEN DURING SCOUTING ACTIVITIES.

 Please state if your son has a disability and /or medical condition, which may affect them from being able to join in an event…………………………………………….

……………………………………………………………………………………….

 Can you help with transport if needed   YES/NO?

 I can be contacted on………………………………………………Home

                                  ………………………………………………Mobile

 Signed………………………………………………………………

Date…………………………………………………………………

NAME (PRINT)………………………………………………………………….