Group Contact Form

To help your child’s leader please provide the following details

Contact Information

Child’s name                                                                  Gender: M/F

Date of birth:                   Religion:                             Ethnicity:

Address

Post Code

Primary contact:

Tele:                                                          Email:

Partner contact:

Tele:                                                          Email:

Further Information

Can your child swim? Yes__ No__

Permission to use photos for Scouting publicity purposes           Yes/ No

Medical Information Doctors Name

Surgery:

Address:

Tele No:

Please list any medical dietary/ allergies or special requirements your child has:

Data protection

All information given will be used in accordance with the Data Protection Act 1998. Information given will only be used in connection with your son/daughter’s membership of the Scout movement in the United Kingdom.

The Scout Association, at all levels, may itself use your contact details (post and email) to keep in touch with you about Scouting. However, by law we need your express permission for certain direct marketing services. By giving this permission we can provide    you with access to additional opportunities and services.

Please return this Form to your Child’s leader.

Parents Signature…………………………………………………