Young Person Information Form

Young person's name *

First

Last

Known as *

Date of birth *

Gender *

Female
Male
Prefer not to say
Other

Please specify gender *

Nationality *

Ethnicity *

Please specify ethnicity *

Religion or Faith *

Please specify religion or faith *

School *

To assist the section leadership team with the planning of the programme, please state which school or college your young person attends.

Disabilities *

Please tick those that apply and provide any details we need to know. The safety and wellbeing of young people in Scouting is our priority. Please provide information about any disabilities your young person may have so that adult volunteers can ensure reasonable adjustments can be made for your young person. This information will be handled with extra care and only made available to those directly supporting your young person

Additional disability information

Please tell us anything we need to know about the disabilities you have selected above

Please provide information about any dietary needs

(eg allergies, intolerances, religious or cultural requirements) of your young person to assist the section leadership team when they plan the programme of activities.

Please provide essential medical information (eg allergies, medications, assistive technology)

The safety and wellbeing of young people in Scouting is our priority. we collect this information so that the section leadership team can ensure suitable care is in place for your young person. This information will be handled with extra care and only made available to those directly supporting your young person.

Parent/Guardian/Carer *

First

Last

Relationship to young person *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Phone *

Secondary phone number (optional)

Primary Email *

Secondary email (optional)

Would you like to provide details of another parent/guardian/carer? *

Yes
No

Parent/Guardian/Carer *

First

Last

Relationship to young person *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Phone *

Secondary phone number (optional)

Primary Email *

Secondary email (optional)

Photographs, video and audio *

I am happy for photos, video and audio to be published of the young person in this form whilst undertaking Scouting activities across all channels; or
I do not want any photos, video or audio to be used

These consent options concern photography, video and audio footage of the young person in this form being published via the following: Group internally controlled publications and communication channels, such as online news, email, websites, newsletters, at the Group meeting place, Group social media channels, Group advertising and/or promotional material including press. Photos, video or audio of the young person in this form will not be used unless you give us your consent. Additionally other Scout Groups, Districts, Counties/Areas/Regions and UKHQ may request consent independently as part of event registrations or other Scouting activities.

Data Protection *

All contacts named on the form have read and understand the data protection statement

Data protection The Scout Association is committed to the Data Principles of the General Data Protection Regulation and the Data Protection Act 2018. By signing this form, I agree to the Group during and beyond my young person’s involvement with the organisation: a) retaining personal data to facilitate any present or potential future involvement with Scouting, in line with the local Group Data Protection and Retention Policy b) retaining sensitive (special category) data regarding religion/faith, disabilities/additional needs, ethnicity, medical information and/or commission of offences or alleged offences, in line with the Group Data Protection and Retention Policy c) allowing access to personal data to appropriate individuals within the hierarchy of Scouting.

Gift Aid

I am a UK taxpayer and understand that if I pay less Income Tax and/or Capital Gains Tax in the current tax year than the amount of Gift Aid claimed on all my donations, it is my responsibility to pay the difference. I want to Gift Aid on my donation and any donations I make in the future, or have made in the past four years to 1st Barton Scout Group.

Boost your donation by 25p of Gift Aid for every £1 you donate. Gift Aid is reclaimed by the 1st Barton Scout Group from the tax you pay for the current tax year. Your address is needed to identify you as the current UK taxpayer. These details are kept for six financial years for any additional queries regarding your Gift Aid declaration. In order to Gift Aid your donation you must tick the box below:

Name of person making Gift Aid declaration *

First

Last

Anti Spam Maths Question *

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