Permission From for the Pantomime – 2017

Activity Information Form

Braintree District Beavers/Cubs Permission Form
Event: District Pantomime – Pantoloons Date: Saturday 14th January 2017
Location: The College at Braintree, Church Lane, Braintree CM7 5SN
Meeting place and time: The College at Braintree, Church Lane, Braintree CM7 5SN 10.45am
Collection place and time: The College at Braintree, Church Lane, Braintree CM7 5SN 1.00pm
Cost: £6 per person
Transport details: Parents
Wear / Bring: Beavers/Cubs to wear uniform on the day.
Other Information: Please bring bottle of still drink, and snack.
Organiser and contact details: Ann Quartermain Tel 07971 286759

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 your Beaver or Cub leader by Friday 26th November at the latest

Name of young person: D.o.B:
Event: District Beaver & Cub Pantomime – Pantoloons

I enclose a cheque for £ 6.00 (please makes cheques payable to 2nd Braintree & Bocking Air Scouts

I have noted the arrangements above and agree to the named young person taking part.

Please note that photographs and video footage may be taken at this event for Braintree District Scouts promotional purposes to promote the positive benefits of Scouting, and may therefore appear on Group, District or County websites and/or newsletters
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 activity: 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:


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