JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Brecon 2019
Sign up form for the Berkshire Scouts Terrain 1 and lightweight expedition training and assessment trip to the Brecon Beacons.
The information below will be used solely for delivering this trip. Three calendar months after the trip ends all personal information will be deleted.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Name
*
Your answer
Gender
*
Male
Female
Other:
Scout Membership Number
*
Your answer
Phone
*
Your answer
Emergency Contact Name
*
Your answer
Emergency Contact Phone
*
Your answer
Please provide details of any meds, dietary needs, disabilities, conditions, allergies, special or cultural needs that might affect this event.
Your answer
Do you hold a permit?
*
No
Yes, Terrain 1 (or Terrain 2 restricted to Terrain 1 style terrain)
Yes, Terrain 2
Permit expiry date, if applicable
MM
/
DD
/
YYYY
What do you want to do?
*
Hillwalking Training - Terrain One
Hillwalking Assessment - Terrain One
Quality Mountain Day for your logbook (no instruction provided)
Other:
Do you want go wild camping (lightweight expedition) on Saturday night? (If not you may be alone in the valley campsite.)
Yes, just for the craic
Yes, but I'd like some training (please let us know your experience below)
Yes, I want to be assessed (you need to already hold a hillwalking permit or be booked on an assessment this weekend)
Lol, no
Clear selection
Please expand on the above two questions, if required
Your answer
How did you find out about the event?
*
I saw it in the Berkshire Scouts News email.
I saw the event in the diary on the website.
I found the trip on the Activities Training page on the website.
I received or was forwarded a hillwalking email from Ralph or Brendan.
I saw it on the Berkshire Scouts Hillwalking Facebook group.
I saw it on the Berkshire Scout or Explorer Scout Leader's Facebook group.
Word of mouth.
Previous attendee.
Other:
Required
Final bits and pieces
*
I must provide my own food. Post any questions on the facebook group.
I must book and pay for myself directly with the campsite for the Friday night. (Details in the trip info document)
Required
Any other comments e.g. request for transport, etc.
Your answer
Acknowledgement of risk statement
*
I am aware that hillwalking and natural rock climbing contain hazards which may present me with the risk of personal injury. I have read and understand The Scout Association’s factsheet Adult Groups in Adventurous Activities.
Required
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms