Bungle-ee 2017 – Adult Registration Form

This form must be completed and returned on or before the 6th June 2017.

Group Name: ………………………………………………………….

Date of camp – From Friday 7th to Sunday 9th July 2017

Details of Adults Camping:

Full Name
Date of Birth
Scout Association Number
Has adult been DBS / CRB checked through Scout Association: / YES / NO
Disclosure Number:
Full Name
Date of Birth
Scout Association Number
Has adult been DBS / CRB checked through Scout Association: / YES / NO
Disclosure Number:
Full Name
Date of Birth
Scout Association Number
Has adult been DBS / CRB checked through Scout Association: / YES / NO
Disclosure Number:
Full Name
Date of Birth
Scout Association Number
Has adult been DBS / CRB checked through Scout Association: / YES / NO
Disclosure Number:
Full Name
Date of Birth
Scout Association Number
Has adult been DBS / CRB checked through Scout Association: / YES / NO
Disclosure Number:
Full Name
Date of Birth
Scout Association Number
Has adult been DBS / CRB checked through Scout Association: / YES / NO
Disclosure Number:
Full Name
Date of Birth
Scout Association Number
Has adult been DBS / CRB checked through Scout Association: / YES / NO
Disclosure Number:
Full Name
Date of Birth
Scout Association Number
Has adult been DBS / CRB checked through Scout Association: / YES / NO
Disclosure Number:
Full Name
Date of Birth
Scout Association Number
Has adult been DBS / CRB checked through Scout Association: / YES / NO
Disclosure Number:
Full Name
Date of Birth
Scout Association Number
Has adult been DBS / CRB checked through Scout Association: / YES / NO
Disclosure Number:
Full Name
Date of Birth
Scout Association Number
Has adult been DBS / CRB checked through Scout Association: / YES / NO
Disclosure Number:
Full Name
Date of Birth
Scout Association Number
Has adult been DBS / CRB checked through Scout Association: / YES / NO
Disclosure Number:

This form will need to be printed, signed and sent to us before the event. It will form part of a major incident plan.

As the responsible adult in charge you are agreeing by staying at the campsite to abide by its rules and the key policies of The Scout Association (Religious Policy, The Equal Opportunities Policy, The Safety Policy, Anti-Bullying Policy and in particular the Child Protection Policy). It is the Policy of the Scout Association to safeguard the welfare of all members by protecting them from physical, sexual and emotional harm. It is the responsibility of all adults to ensure that; 1) their behaviour is appropriate at all times, 2) they observe the rules established for safety and security of young people, 3) they follow the procedures following suspicion, disclosure or allegation of child abuse, 4) they recognise the position of trust in which they have been placed & 5) In every respect the relationships they form with young people under their care are appropriate.

DECLARATION: I as the responsible adult in charge, confirm that my group / party will abide by the site rules and policies of the Scout Association ensuring that any adult not appropriately cleared through the DSB system will not be left unsupervised in any compromising situation that could put others at risk and that all the information above is correct to the best of my knowledge, and understand that declaring false information regarding Disclosure & Barring service checks is a criminal offence.

Name………………………………………………………………………………………..

Signature …………………………………………………………………………………...