Home Contact Info
About the EB
Why Bohemian Paradise?
Mission statement
Leadership Team
Emma
Jonathan
Nathan
Lauren
Seb
Roger
Dave
Simon
FAQ
Join
Team Area
Presentation details
FEEDBACK
Language Lesson
Kit list
Expedition Participation form - Under 18's
Expedition Participation form - Over 18's
Personal inventory upload
Dilemmas
Your funding activities
Recce Movie
Leader contact details
Fitness Training
>
Tips for Expedition Fitness
Hiking Fitness
Hiking Physical Fitness Training - Exercises for Hiking
Money matters
Handy tips
Expedition Participation Form - UNDER 18's only
Under 18’s - Please make sure your parent or guardian completes this form
Name
*
First
Last
Note 1: Forename and Surname MUST be written as shown on your passport as if successful this information will be used to book flights etc. and has to be accurate. This includes all middle names
Known as
*
If you have a preferred nickname then add it here.
Young persons email address
*
Date of birth
*
Gender
*
Male
Female
Explorer Unit name
*
Explorer Unit Leaders name
*
Passport Number
*
In addition to the following details, we will collect a photocopy of all passports belonging to Unit members. These will be filed and taken to the Czech Republic with us. You will carry a copy with you on the Expedition. A further copy will be left with a Unit contact in the UK.
Passport Country
*
Passport issue date
*
Passport expiry date
*
European Health Card Number
*
Blood group if known
*
Date of last Tetanus
*
Other inoculations and dates if known
*
Special dietary requirements
*
Dietary Requirements should include details of any food allergies and details of particular dietary needs, including religious food needs.
Medical requirements
*
Medical Requirements should include details of medical conditions, medication taken and any non-food related allergies.
Religious requirements
*
Religious requirements should be used to give details of particular religious needs, not identified in the dietary section.
Additional requirements (to include any phobias or physical concerns that may restrict you from white water rafting and/or Mountain Scootering)
*
Additional Requirements should be used at the discretion of the individual to include any additional information that might be helpful for Unit Leaders.
I can swim 50m unaided
*
YES
NO
Media Consent - Sometimes, photos and video images of Scouts taking part in activities are submitted to local newspapers, the Group, District or Area newsletters and websites or put on display for publicity purposes. Please indicate if you are happy for images of your child to be used in this way.
*
Yes I agreed to the use of images
No please don't use images
Emergency contact name
*
First
Last
Emergency Contact address
*
Home telephone number
*
Please start number with international dialling code 0044
Emergency contact email address
*
Primary emergency cell phone number
*
Additional emergency cell phone number
*
DECLARATION -As the Parent/Guardian of the individual named herein I confirm that I am willing for Cornwall Scout Council to use the information provided for the purposes of managing the Czech 2014 unit. I understand that some information may be passed to a small number of external partners, such as travel providers, who will only use the information provided to make bookings on behalf of the unit.
*
First
Last
Relationship to young person
*
Parent / Guardians email address
*
Date
*
Submit