Hilversum International Scout group
FOR SECTION LEADER
Personal details
Name
........................................................................
Date of birth ... ......... .. ... ... ... ... ... ... ... ... ... ... ... ... .Country... ... ... ... ... ... ...
Religion ( optional) ..................
Gender
male 0
female 0
Contact details
Address ……………………………………………………………….
Postcode ……………………………………………………………..
City ………………………………………………………………. ..
Phone number……………………………………………………………………………….
Mobile number; Mother ………………………………………………………………………
Father..................................................................................................
Emailaddress; …………………………………………………………………………….....
If necessary extra emailaddress;.................................................................................
Medical details
Doctor's name
……………………………………………………………………
Doctor's phone number… ………………………………………………………………
Special needs - medical, diet, other
..............................................................................................................................
..............................................................................................................................
.............................................................................................................................
Background
Parents names
..................................................................
Parents willing to help with; Camps
Yes / No
Meeting
Yes / No
Special outings
Yes / No
Committee meetings
Yes / No
Parents hobbies/interests .................................................................
..................................................................
Date joined Cub Scouts / Scouts .............................................................
All information given will only be used for our own scouting information and administration and will never be given
to others
Hilversum International Scout group
FOR ADMINISTRATION
Personal details
Name
Date of birth
Gender
.........................................................................
... ......... .. ... ... ... ... ... ... ... ... ... ... ... ... ... ...Country... ... ... ... ... ... ...
male 0
female 0
Address ……………………………………………………………….
Postcode ……………………………………………………………….
City ……………………………………………………………….
Phone number……………………………………………………………………………….
Mobile number
Mother ………………………………………………………………..
Father ...........................................................................................
Email address……………………………………………………………………………….
Contact details
If necessary extra emailaddress ..………………………………………………………..
…………………………………………………………
Background
Parents first names ...................................................................................................
Date joined Cub Scouts / Scouts ..............................................................
Where did you hear from us? ...................................................................
As parent / guardian I agree to have seen the group regulations to be found in the
parents information brochure.
I agree to that photos of my son/daughter involved in scouting activities may be used
on the Hilversum International Scout website and other materials used to celebrate
and promote our scout group.’
Signed ………………………………
Date; …………………………….
All information given will only be used for our own scouting information and administration and will never be given
to others.
Hilversum International Scout group
FOR TREASURER
Personal details
Name
.........................................................................
Date of birth
Gender
... ......... .. ... ... ... ... ... ... ... ... ... ... ... ... ... ...Country... ... ... ... ... ... ...
male 0
female 0
Address ……………………………………………………………….
Postcode ……………………………………………………………….
City ……………………………………………………………….
Phone number……………………………………………………………………………….
Mobile number ……………………………………………………………………………….
Email address……………………………………………………………………………….
Contact details
Background
Parents first names ..................................................................
Date joined Cub Scouts / Scouts ..............................................................
As parent / guardian I agree to have seen the group regulations to be found in the parents information
brochure.
Membership of Hilversum International Scout Group is for one year. Membership fees are
levied at annual rate or part of a year, if admission falls in second, third or fourth term.
A rebate is given if membership ends before the end of a given year. Till a maximum of 25%.
Please contact the treasurer. Jos Swart; 035 6913252
Signed ………………………………
Date; …………………………….
All information given will only be used for our own scouting information and administration and will never be given
to others.