Version User Scope of changes
Jun 9 2007, 6:52 AM EDT (current) lorcan.caulfield
Jun 6 2007, 12:11 PM EDT 140th 2 words added, 2 words deleted

Changes

Key:  Additions   Deletions
140Th Beaumont Nativity Unit
Unit Leader: Graham Keller Deputy Leader: Lorcan Caulfield

New Members Application Form
Request for membership of Beaver (aged 5-8):, Cub (aged 8-11):□,
Scout (aged 11-15): ,Venturers (aged 15-19):
(please tick Relevant Section) Section in the 140th Beaumont Nativity Unit.


New Applicants Name:

Date of Birth:



Special Health Notes:
(that Leaders should be aware of e.g. epilepsy, special diet, allergies, medication etc.,) -

Hobbies/Interests:

Name of Parents/Guardians:
Address:

Tel (h):
Tel (m):
Tel (m):

School Attended:
Religion:





Parent/Guardian Survey Have you any interest in the following:
(please tick)
Arts/Crafts □ Cycling □ Canoeing/boating □ Camping Science CarpentryCooking SwimmingFirst AidHill Walking □ Home Safety □ Metal Work □ Music/Drama Nature Orienteering Public Relations Sport GardeningDrawing/Painting Photography Road Safety Other(s): not listed: ______________________________________________________ Would you like to help out with Scouting?
Yes, in a small way
Yes, I could provide transport
Yes, Parents & Friends Committee
Yes, but I don’t know what I can do to help.

I have read and understand this membership application form. I realise that scouting is a commitment for both parent/guardian and child and also that I may be asked to support the Leaders of the Unit, from time to time.

Signed Parent/Guardian: ___________________ Date: _______________