10th Jersey (St. Brelade) Scout Group
Registration of Interest Form
On completion, please submit your registration form or send it to Membership Secretary, 10th Jersey (St Brelade) Scout Group, Les Creux Scout Centre, Les Creux Country Park, St Brelade, Jersey who will contact you should a suitable place become available. Further information together with the Group's Membership documentation and request for the New Joiner administration fee will be sent to you following your acceptance of the offered place.

Please be advised that the information you provide will be incorporated into the Group's waiting list and used by the Membership Secretary in the management of its new members

Young person - Registration Details
Young persons Name
Date of Birth
Date entered on waiting list
Male or female
         
Any Special Needs
 
Scout Section
Scout Section
Beaver, Cub or Scout
Preferred evening
Monday
Tuesday
Wednesday
Thursday
From
Until
Beaver Scout
(6-8 yrs)
 
5:45 -
6:45
Cub Scout
(8-10 1/2yrs)
7:00 -
8:30
Scout
(10 1/2-14yrs)
   
7:00 -
9:00
Family contact details
Parent / Guardian Name
Address
Home telephone
Mobile telephone
Contact e-Mail address
Brothers /Sisters in Group
Brother /s  
Sister /s
If yes, who and where
 
Adult interest in supporting the group
Uniformed leadership
Executive Committee