Altside Day Activity Notification

Activity Leader & Membership No.*

Phone*

Group/Unit:*

Your Email*

Activity:*

Address/Location of Activity*

Street Address Street Address Line 2 City Postal Code

Location Phone Number:*

Event Date:*

Time From:*

HH

:

MM

Time To:*

HH

:

MM

Number of Squirrels:

Number of Beavers

Number of Cubs:

Number of Scouts:

Number of Explorers/YL's

Number of Adults:*

Names & Membership No. all of adults attending, not including the Activity Leader:*

Type of Event:*

Specialist Activities: *

InTouch in place?*

Yes

No

GLV/DLV is aware of event?*

Yes

No

One Day Acivity Form Issued to Parents?*

Yes

No

Specialist permits valid?*

Yes

No

Upload your Risk Assessment:*

Please provide any further information, which you feel relevant to this notification:

2nd Bootle Scout Group