1st CHEAM SCOUT GROUP 21 Malden Road, Cheam, Surrey

APPLICATION FOR THE WAITING LIST FOR THE BEAVER COLONY & CUB SCOUT PACKS, SCOUT TROOP & EXPLORER UNIT

Please return to: 1st Cheam Scout Group
    Waiting List Recorder 21 Malden Road, Cheam,
                            Sutton, Surrey SM3 8QD
                        
Child’s Name………………………………………………………

Date of Birth….……../…….……./………….             Boy / Girl*

Address……………………………………………………………..
             ……………………………………………………………..
             ……………………………………………………………..
Tel No………………………………………………………………
Email Address………………………………………………………
School ………………………………………………………………

Application for:  Beaver Colony   (Fri 6.30pm - mixed)*/
                          Cub Scout Pack (Mon 6.45pm – mixed)*/
                          Cub Scout Pack (Thurs 6.45pm – boys)*/
                          Scout Troop        (Tues 7.15pm – 9.15pm)
                          District Explorer Unit (Friday evenings)

Is there another family member in the Group?   No/Yes
  (Name………………………….. Section..........................)

Please add details of younger children you wish to be included on the waiting list below

Signed………………………………Date..……../…..……/…..…
          (Parent / Guardian)
 Please print name………………………………………………..
*delete                      

Names (s)……………………………………………………………………

were recorded on….…/……../……….Signed…………………………….