Bronze Duke of Edinburgh Consent Form

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Please complete the form below.

Email *

Student's First name *

Student's Surname *

Student's Form *

Student's date of birth *

YYYY

Student's Site *

Borough Road

Waterleat Road

Have you registered for any previous levels of the DofE? *

Yes

If YES – please give the name of the DofE Centre you were registered at:

Students school email address *

Parents email address *

Students home address house number (students need to receive a DofE pack through the post) *

Students home address Street name (students need to receive a DofE pack through the post) *

Students home address Postcode (students need to receive a DofE pack through the post) *

Student declaration. I agree to enrol as a participant on a DofE programme. I understand that I will be managing my programme using the online eDofE system. I acknowledge that this system has a set of terms and conditions that I agree to. These terms and conditions are available at www.eDofE.org *

Yes

Consent to enrol from parent or guardian. I agree to my son / daughter / ward doing a DofE programme. I note that it is my responsibility to check that any activity my son / daughter / ward undertakes for their DofE programme is appropriately managed and insured, unless the activity is directly managed or organised by their DofE group, centre or Licensed Organisation. *

Yes

Note: Data supplied on this form and in eDofE and information about DofE activities recorded in eDofE will be used by the DofE Charity, the Licensed Organisation and DofE centre to monitor and manage DofE participation and progress by young people and manage and support Leaders. The DofE Charity will use personal data to communicate useful and relevant information to either help participants complete a DofE programme, Leaders/LOs to run DofE programmes more effectively or help the DofE Charity to improve the quality and breadth of its programmes. We also send emails that contain information about the Charity, DofE negotiated privileged discounts and invites to events and other activities however if you would like to receive these emails you will need to opt in. Once you have opted-in to this you can opt out at any time by visiting www.dofe.org/preferences, or clicking the unsubscribe link that can be found at the bottom of all non-programme related email.

Any questions please email dofe@paigntonacademy.org

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