Leader Training Adult Registration Form
Use this form to register as an adult leader.

Please fill in the form yourself - do not fill it in on the behalf of other leaders. Feel free to forward the link to other leaders.
RN Unit Number *
Enter only the number. If you are Unit 14 then just enter 14. For the Admiral Lord Nelson Active Support Unit, enter 0.
Your answer
Requested Course *
Your Details
First Name *
Your answer
Last Name *
Your answer
Gender *
Date of Birth *
Check the format before entry, depending on your computer it may be Month first or Date first.
MM
/
DD
/
YYYY
Email Address *
Email is our primary method of communication, please ensure your address is accurate.
Your answer
Best Phone Number *
Your answer
Post Code *
To attend the event, you will be registered as a member of the Admiral Lord Nelson Active Support Unit. Please use the post code which is registered in COMPASS.
Your answer
Dietary Requirements
Details of any dietary requirements, religious or cultural needs. We are unable to cater for any requirements not specified on this form. Please leave blank if none.
Your answer
Medical Information
Details of any disabilities, medical or special educational needs that may affect the young person’s participation in this camp. Please leave blank if none.
Your answer
Anything Else?
Is there anything else you think the organizers should know?
Your answer
Emergency Contact Details
Please provide the details of your preferred emergency contact
Name *
Your answer
Phone Number *
Your answer
Alternative Phone Number
Your answer
Submit
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