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To help your child’s leader please provide the following details
Contact Information
Child’s name                                                                  Gender: M/F
Date of birth:                   Religion:                             Ethnicity:
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
Tele No:
Please list any medical dietary/ allergies or special requirements your child has:


Make your gift do more.

By ticking here you will increase the value of all the donations and subscriptions you have made for the past four years, and all future donations until you notify us otherwise.  To qualify for Gift Aid you must pay an amount of Income Tax and/or Capital Gains Tax for each tax year (6 April to 5 April) that is at least equal to the amount of tax that all the charities or Community Amateur Sports Clubs (CASCs) reclaim for that tax year (currently 25p for each £1 you give). Taxes such as VAT and Council Tax do not qualify
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…………………………………………………
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