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Youth Voice Registration form
If you would like to join this pioneering group of young women please complete the details below
Any queries, please email: youth_voice@gghw.org.uk
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* Indicates required question
First name of ranger/young leader wishing to take part
*
Your answer
Surname of ranger/young leader wishing to take part
*
Your answer
Your contact e-mail address
*
Your answer
Please select your membership role
*
Ranger
Young Leader
Young Volunteer
Name of unit leader (Rangers only)
Your answer
E-mail address of unit leader (Rangers only)
Your answer
In which division do you undertake your main guiding role? If you don't know, your unit leader will be able to help.
*
Chandler's Ford
Eastleigh
Hurst Castle
Itchen Valley
New Forest Avon
New Forest North
New Forest Waterside
Romsey
Southampton Central
Southampton Itchen
Southampton West
Winchester
If the member is under 18 years of age - name of parent/carer. If over 18 - please answer as N/A
*
Your answer
Parent/carer contact e-mail address - for under 18s. If over 18 - please answer as N/A
*
Your answer
Emergency contact 1 name
*
Your answer
Emergency contact 1 telephone number
*
Your answer
Emergency contact 2 name
*
Your answer
Emergency contact 2 telephone number
*
Your answer
I confirm that any photos or videos taken while a member of this group may be used in national and local Girlguiding publicity, communications, publications or digital channels (eg websites, social media).
*
Yes
No
Please provide details of any disabilities, health or access needs (including allergies) that are relevant to this event, and details of any medication.
Your answer
Please provide details of any additional support needed from the leadership team to allow the member to participate in this group
Your answer
Consent (under 18 years) - I give permission for my child named above to take part in this group . Over 18 years - please select N/A
*
Yes
No
N/a
Any questions?
Your answer
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