Kent Explorer Scouts Kent Network Scouts
GOLD DofE / QSA TRAINING AND INFORMATION WEEKENDCourse Organiser: Pat Duncumb County DofE Advisor
07714 541427
Lower Grange Farm, Lower Grange Farm,
Grange Lane, Sandling, Maidstone, ME14 3DA
23rd to 24th November 2013
…………………………………………………………………………………………………………………………………………………………………………
The weekend starts at 9.30am Saturday 23rd November and finishes at 3pm Sunday 24th November 2013.
You should be self-sufficient for the weekend. This kitlist is provided as guidance.
Rucksack (approx. 50 litre) / Walking clothes including boots / Compass (Silva Type)Rucksack liner / Map case / Notepad and pen
Bivi bag (Survival Bag) / Hat-/Balaclava / Sleeping Bag and map
First Aid Kit + blister kit / Gloves/mitts / Watch
Food for the event / Hike Boots / Wash kit & towel
Plate/bowl/mug/cutlery / Walking socks (3 pairs min) / Rubbish bags
Personal medication / Gaiters / Torch and spares
Trangia/lightweight stove & fuel / Overnight camping kit / Trainers (optional)
Fleece jacket / Tent (shared as required) / Whistle
Waterproofs
During the event we will cover:
-Requirements for the expedition section – including deadlines and paperwork
-Training requirements
-Navigation (there will be a night hike)
-Food
-Health and safety
-Teams and communication
To book a place return the attached permission form to Pat Duncumb, County DofE Advisor-Kent Scouts, before 1st October 2013.
/ Kent ScoutsEXPEDITION PERMISSION FORM /
GOLD DofE / QSA TRAINING AND INFORMATION WEEKEND
DofE unit: ……………………………………………….….……………… District: ……………………………………………………………………………..
Participant’s Name:………………………………………...…………………………………………………..…… DOB………………………………………
Home Address:…………………………………………………..……………………………………………………………………………..…………………………
…………………………………………………………………………………………………………….. Post Code: …………………………………………………..
Phone/Email Contact Details:………………………………………………………………………………….…………………………………………………
Name and Address of Dr………………………………………………………………………………………………..……………………………………………
……………………………………………………………………………………………Dr Phone No:…………………………………………………………………
Has s/he been in contact with any infectious diseases with the last month? If so, please give details
Yes/No *………………………………………………………………….………………………………………………………..……………………………………………
Is s/he allergic to anything, eg aspirin, antibiotics, food etc? If so, please give details
Yes/No* ……………………………………………………………………………………………..……………………………………………………………….……….
Does s/he suffer from any illness or disability eg asthma, diabetes, hay fever? If so, please give details
Yes/No *………………………………………………………………………..………………………………………………………………………………….…………..
Are there any dietary requirements the leaders need to be aware of? If so, please give details
Yes/No* ………………………………………………………………………………………………………………………………………………………………………..
Is s/he having any medical treatment at present? If so, please give details
Yes/No *…………………………………………………………………………………………………………………………………………………………..…………….
Has s/he been immunised against tetanus? If so, please give approx date
Yes/No *……………………………………………………………………………………………………………………………………………………………..…………
Parents Authorisation (Required for all those under 18 – participants over 18 should sign for themselves)
I am willing to allow my son/daughter to participate in the expedition and in the event of him/her being taken ill or injured to the extent that medical treatment becomes necessary, I authorise the leader present to sign, on my behalf, any written form of consent required by the hospital for an anaesthetic to be administered, or for any other urgent medical treatment to be given, provided the delay required to obtain my own signature might be considered likely, in the opinion of the doctor concerned, to endanger my son’s/daughter’s health or safety.
Photographs and video recordings taken at Scouting events in Kent may be used for Scouting purposes. i.e. on internet, printed material (including the press) and presentations. Attendance at such events will automatically be deemed as permission given to reproduce the images unless the team supervisor and event organiser have been informed otherwise.
Signed Parent/Guardian: ...... ……………...... Date: …...... ……………….…..…
Name (Printed): ...... …………………………………………………………………………………………....
* if needed put further information on the rear of the form