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Cheshire County Scout Council Adult Training 15 January 2007 10NA(CS) Registration Form for Modular Training - Nights Away (CS only)
To be completed by – LEADERS IN THE CUB SCOUT SECTION
Full Name: (Mr/Mrs/Ms/Miss/Others)
Address:
Postal Code: e-mail address:
Tel. Number: Date of Birth: / / 19
Scout Group: Scout District:
Registered Adult Training Zone: (Nearest zone to where I live) _______________________________________________________________________________________
I have agreed with my Acting Training Adviser CATHY BLAND (name in capitals) to complete adult training Module 16 (Nights Away), which is appropriate to my appointment as a CSL (It is recommended that no more than two of the Modular groups of training should be completed at once, these modules should be recorded in your Personal Learning Plan)
MODULAR GROUP - Supplementary Module (Module 16 - Nights Away)
Date: Sunday (am) 11 March 2007 9.30-12.00 noon Camp Preparation Session (Half-Day) Venue: KNUTSFORD BOWLING CLUB, MEREHEATH LANE, KNUTSFORD WA16 6AWAND Dates: 11 / 13 May 2007 (Camping Weekend Fri to Sun) Please note that this is a residential experience involving an overnight stay Venue: Tatton Park
Signed: (Leader)
Date:
Signed: Cathy Bland (Local Training Manager – Vale Royal)
Date:
Dietary Needs:
Please state any specific requirement, which may affect your training: CONFIDENTIALLY NOTED
Emergency Contact Name:
Contact Tel number(s) to be used:
Address (if different from above):
PLEASE RETURN THIS FORM WHEN COMPLETED AND SIGNED TO – Mrs Cathy Bland, County Training Administrator, 12 Park Lane, Pickmere, Knutsford, WA16 0JX.
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