2018 Basic Training: Application Form

First Name: / Surname:
Membership No (If you don’t know this, please ask your local commissioner or unit leader):
Date of Birth:
Address (Home): / Address (term time):
Postcode: / Postcode:
Telephone number: / Telephone number (term):
Mobile number:
Email:
Girlguiding county: / Girlguiding county (term):
Girlguiding country/region: / Girlguiding country/region (term):
Girlguiding roles:
Emergency contact name: / Relationship to you:
Emergency contact address: / Emergency contact telephone:
Emergency contact mobile:
This booking form is for the Basic Training below only. A list of dates and locations for Basic Trainings may be found at: girlguiding.org.uk/making-guiding-happen/programme-and-activities/peer-education/become-a-peer-educator/
Preference / Date / Location
Scotland / 30 March – 1 April 2018 / Bonaly Outdoor Centre, 71 Bonaly Road, Edinburgh, EH13 0PB

For this training you will need to pay a £10 deposit – cheques should be made payable to “Girlguiding Scotland” and cash should not be sent in the post. If you attend the event you can either reclaim your deposit or use it to buy a peer educator T-shirt at no extra cost. Failure to attend means that you lose your deposit.

I am intending to use this Basic Training to count towards the Residential Experience for my Queen’s Guide award
□ Yes
□ No
Please note, the Basic Training weekend does not count towards any other section of your Queen’s Guide award
Do you have any special dietary requirements?
Do you have any other needs that we should be aware of?
Participants 18 and over:
I am over 18 and am happy for photographs/video footage of myself to be used in Girlguiding publicity, publications or website.
Signature of participant:
Date: / Participants under 18:
If you are under 18, we need to have your parent’s/guardian’s permission as well, for you to attend a 4 basic training.
I am willing that:
should attend a 4 Basic Training and I am happy for photographs/video footage of may be used in Girlguiding publicity, publications or website.
Signed:
Date: Relationship to the above:

Once completed, please return this form by Laura Stewart

Monday 12 March to: Girlguiding Scotland

Remember to enclose your deposit16 Coates Crescent EDINBURGH

EH3 7AH

Or by email to

Please note places are limited and are allocated on a first come, first served basis. A deposit is required to secure your place.

Any queries please get in touch withLaura Stewart at the email above or contact:

4 Peer Education

c/o Guiding Development

Girlguiding

17-19 Buckingham Palace Road

LondonSW1W OPT

Or email

Telephone: 0207 834 6242(ext) 2068