Explorer Scout / Scout Expedition - Leader Application
Questions marked by * are required.
1. Name: *
2. Address: *
3. Home phone number: *
4. Mobile phone number:
5. Email: *
6. Your group/unit name:
7. Your appointment:
8. I hold a current Surrey Heath Scout CRB: *
  • Yes
  • No
9. I can help for: *
10. Will you be camping Saturday night: *
  • Yes
  • No
  • Don't Know Yet
11. Are you happy to walk with a patrol of scouts: *
12. I can supply transport:
  • Yes
  • No
  • If Required
13. Can you attend the training day: *
14. Next of kin's name: *
15. Next of kin's address:
16. Next of kin's phone number: *
17. Next of kin's mobile number:
18. Comments - Please use this box to indicate any diet requirements or medical conditions that we will need to know about: