3rd Leigh Park Scout Group

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Your Record Card Information.

To be completed by a parent or guardian

Which Section are you completing for?
   
Personal Details  
Yours Child's First Name
Yours Child's Surname
Yours Child's Date of Birth
Religion
   
Contact Details  
Address
Post Code
Phone Number
Mobile Number
Valid Email Address
   
Medical Details  
Doctors Name
Doctors Address
Doctors Phone Number
National Health Number
Special Needs
   
Back Ground Information  
Parents/ guardians Full Names
Parents Occupations
   
Scouting Information  
Date Joined Scout Movement
   
Are you interested in becoming a helper / Leader? Yes No
   
Do we have permission for appropriate photos to be used at www.3rdleighpark.org.uk Yes No
Do we have permission for appropriate photos to be used in 3rd Leigh Park newsletters. Yes No
Would you like to receive emails telling you what is going on. Yes No
Any Other Comments
Does your child suffer from any allergies?




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