1wfs.co.uk :: Noor Ul Islam Scout Group

Name of Child (1)  _____________________________   Age   ______  Date of Birth _______________  Boy / Girl ___________

Name of Child (2)  _____________________________    Age  ______  Date of Birth _______________  Boy / Girl ___________

Name of Child (3)  ____________________________    Age   ______  Date of Birth _______________  Boy / Girl ___________

Pleae provide the following information, specifying which child it relates to:-

Disabilitiers / Special Needs   ______________________________________________________

Special dietary needs / allergies  ___________________________________________________

Any regular medication taken by child ____________________________________________________________________

Hobbies / interest                   ___________________________________________________________________________

Parent Name (s) ____________________________________________________________________________________

Address ______________________________________________________________________Postcode __________

Contact number _______________________________  Email address _______________________________________

Mobile / Emergency contact numbers _______________________________________________

Name of others (if any) authorised to collect child   __________________________________________________

Their relationship to child ___________________________________________

Please tell us your child/children's expectations of our scout group: _________________________________________________

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Subscription fees (*1) : Annual fees : £10.00       Per Term: £20.00

Payment method (please tick)  Cash Ο 

                     Cheque Ο

(Cheques should be made payable to: 1st Waltham Forest South - Noor Ul Islam - Scout Group). 

If you are a UK tax payer and would like us to claim Gift Aid on all subscription fees and donations, please tick circle  Ο

I have no objection to photographs being taken during sessions or outing which may include my child Ο 

Signature __________________________________________  Name ______________________________________ Date _______

(*1) If you are in financial hardship but genuinely want your child to attend please let us know and we will try our best to accommodate you.