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Blackwater Valley Young Leader Registration
Parents should complete this form in full to register their young person as a Young Leader with Blackwater Valley Explorer Scouts.
DATA PROTECTION
Personal data regarding you and your child, whilst they are in Scouting, will be held and used in accordance with applicable Data Protection legislation.
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* Indicates required question
Email
*
Your email
Name of Young Leader
*
Your answer
Which Section is the young person helping with?
*
Squirrels (4-6 year olds)
Beavers (6-8 year olds)
Cubs 8-10 (8-10 year olds)
Scouts (10-14 year olds)
Required
Which group(s) does the young person help with?
*
For example, 5th Farnborough
Your answer
Young Leader's Date of Birth
*
Your answer
Email address of Young Leader
*
Your answer
Parent/guardian email address
Your answer
Explorer Unit attended (if any)
*
Blackwater Valley Centurions
Blackwater Valley Hybrid
Blackwater Valley Phantoms
Blackwater Valley Spitfires
Blackwater Valley Young Leader only (does not attend an Explorer unit)
Doing DofE volunteering section through school or other non-Scouting organisation
Please send me info on unit to join
Other:
Required
Which Scout Troop were you in?
This is so we can arrange for your old records to be transferred
Your answer
Young Leader's Home Phone Number
*
Your answer
Young Leader's mobile phone number
Your answer
Young Leader's Address
*
Your answer
Name of next of kin 1
*
(parent/guardian)
Your answer
Emergency contact number(s) for next of kin 1
*
Your answer
Name of next of kin 2 (if applicable)
(parent/guardian)
Your answer
Emergency contact number(s) for next of kin 2
Your answer
Doctors Name & Surgery
*
Your answer
Do you have any medical conditions or allergies, take any medication, have any additional needs or dietary requirements?
If so, please enter details here
Your answer
Young Leader's ethnicity
Your answer
Young Leader's religion
Your answer
Consent to attend
I confirm that I have parental responsibility for the participant. S/he is in good health and I agree to him/her being a Young Leader. I acknowledge the need for obedience and responsible behaviour on his/her part and that the Leaders reserve the right to send any Young Leader home. I give permission for the leaders to seek medical help in the event of any emergency. In the event I cannot be contacted, I give general consent to the treatment (including the use of anaesthetics) advised by the medical authorities and give my permission for a leader to sign any forms required. Note: the Medical Authorities can insist on parental authority before treatment commences. I agree to the data protection statement above
Yes
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Signed
*
Please type name of the parent/guardian completing this form.
Your answer
A copy of your responses will be emailed to the address you provided.
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