Explorer and Network Christmas Ball 2017
Event Timing: 25th November, 7:30-11:30 PM
Event Address: Cadbury Hall, Frampton ......
Contact us at: ball@gnscouts.org.uk
Dress code: Black tie

To be filled in by the parent/guardian if the participant is under 18, or by the participant if over 18.
Participant's First Name *
Participant's Surname Name *
Date of Birth *
(DD/MM/YYYY)
Participant type *
Name of unit *
Please enter the name of your Unit
Details of any disabilities, conditions, allergies, special or cultural needs that may effect this event: *
Dietary restrictions *
Emergency contact name: *
Relationship to participant *
Phone number of emergency contact: *
Contact Email *
Please provide a contact email. This email will be used to send out payment details.
As parent/guardian of the Young person, do you give permission for your child to have their photo taken? *
As parent/guardian of the Young person please confirm you give your consent for the YP to attend and understand that the event Leader reserves the right to send any participants home if necessary. *
Required
How will you pay the £10 ticket charge? *
Details of how to pay using all methods will be emailed to you on completion of this form.
Required
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