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 *
Your answer
Participant's Surname Name *
Your answer
Date of Birth *
(DD/MM/YYYY)
Your answer
Participant type *
Name of unit *
Please enter the name of your Unit
Your answer
Details of any disabilities, conditions, allergies, special or cultural needs that may effect this event: *
Your answer
Dietary restrictions *
Emergency contact name: *
Your answer
Relationship to participant *
Your answer
Phone number of emergency contact: *
Your answer
Contact Email *
Please provide a contact email. This email will be used to send out payment details.
Your answer
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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