One Day Activity

Information and consent form

This part to be kept by the parent/guardian. Please complete legibly in black ink.

Please return the lower section of this form,

completed and signed, to the Leader by 26th October

Name of Section: ……Poppleton Scouts..

Proposed activity : …………………………..

Trip to Halifax Ski centre

………………………………………………...

………………………………………………...

On (date) :……30^th November 2007

Meet at : Scout hut 6.30………….

Start Time: ...…8:00……………..pm/

Finish time: …………9.30……………/pm back at hut approx 10.15

Cost: £ 18……………………...

Cheques payable to: …1^st York Poppleton Scout Group

Parental Transport required

Additional information ……………………….

Home contact: …Ruth Dundas...

……Church Lane …………...

…Nether Poppleton…...

Home contact phone: ……781272……………………

Leader: ……Paul Homan/ Mark Roman

Date: …………………………………………..

………………………………..................................................................................................................................................................Parent’s or guardian’s consent

This part to be returned to the Leader

I have noted the arrangements and give

permission for:

(name of child) ………………………………..

to take part in (proposed activity): ……………

………………………………………………...

Family trip to Halifax Ski centre
There will be ___ Adults ___ Scouts

attending from our family.………………...

I enclose fee of £ ………

I can/cannot provide transport (if yes please give

details)

……………………………….......................

Please state if your child has a disability or

condition which might be affected by this

activity.

………………………………………………...

………………………………………………...

………………………………………………...

Please indicate details of any medical treatment she/he is having at the moment.