Immanuelscouts - Bowley Cycle Weekend

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Bowley Cycle Weekend

Nights Away Information Form

Immanuel Scout Troop

Event:

Weekend Camp

Dates:

25/26/27^th June 2010

Location:

Bowley Scout Camp

Meeting place and time:

Scout Hut FRIDAY 6.30 PM

Collection place and time:

SCOUT HUT SUNDAY 3.30PM APPROX.

Cost:

£10

Transport details:

CYCLE ALONG TOW PATH/CYCLE TRACK TO AND FROM BOWLEY

Activities:

RAFTING, HIGH ROPES,ZIP WIRE.

Further details:

Organiser and contact details:

ALEX. WOODS 207928 / 07895699006

Home Contact and contact details:

In an emergency

PTO

Alex’s mobile /Bowley campsite 01254884551

Please keep this section for your own information, and detach and return the section below.

Note: All activities will be run in accordance with The Scout Association’s safety Rules. No responsibility for the personal equipment/clothing and effects can be accepted by the organisers and The Scout Association does not provide automatic insurance cover in respect to such items.

Please complete and return this section to Alex by 18^th June

Name of young person:		D.o.B:
Event:	Bowley weekend camp

I enclose cash for £10…no cheques please.

I have noted the arrangements above and agree to the named young person taking part. I understand that the event Leader reserves the right to send any participants home if deemed necessary.

Is he/she able to swim 50 metres and stay afloat for five minutes in light clothing?		Yes / No
Emergency contact:		Phone:
Doctor’s name and contact details:	Details of any medications currently being taken:

Details of any disabilities, conditions, allergies, special needs or cultural needs that might affect this event:	Details of any infectious diseases he/she has been in contact with in the last three weeks:

If it becomes necessary for the above named young person to receive medical treatment and I cannot be contacted to authorise this, I hereby give my general consent to any necessary medical treatment and authorise the Leader in charge to sign any document required by the hospital authorities.

Signed:		Date:
Relationship to young person:

Please use the back of this form if more space is required

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Nights Away Information Form

PTO

Is he/she able to swim 50 metres and stay afloat for five minutes in light clothing?

Yes / No