Application Form for GET out 2017

Application Form for GET OUT 2017

Name:Click or tap here to enter text.Contact email:Click or tap here to enter text.

GO! Number:Click or tap here to enter text.Tel/mobile number:Click or tap here to enter text.

Guiding County:Click or tap here to enter text.Emergency contact name:Click or tap here to enter text.

Division/District:Click or tap here to enter text.Emergency contact’s tel/mobile number:Click or tap here to enter text.

Unit:Click or tap here to enter text.

Section(s):Rainbows☐ Brownies☐

Guides☐ Senior Section☐

I am planning on attending:All Day☐or the following sessions:Session 1:10.00am – 11.30am☐

Session 2:11.45am – 1.15pm☐

Session 3:2.00pm – 3.30pm☐

Session 4:3.45pm – 5.15pm☐

Session preferences: places are limited for each session and available on a first come first served basis. 2 sessions per person are available, but we are collecting your top 3 choices, if no preference is given we will allocate you activities to try:

First choice: Choose an item.Second choice: Choose an item.Third choice: Choose an item.

Closing date for applications:Wednesday 19th April 2017

The cost for all or part of the day is £10(the Get Out event is a training day and can be claimed through unit funds). Cost if non-refundable after the closing date for applications unless the event is cancelled.

Payment can be made by cheque payable to “Girlguiding Surrey West”

or via bank transfer to: Sort Code - 40-52-40Account Number – 00017402 (please use the transaction reference of GetOut17)

Applying by post and paying by cheque, please send your application to:Janet Cowley, 18 Watermead, Goldsworth Park, Woking, GU21 3JT

Applying by email and paying by bank transfer, please send your application to: