IMC 2020 Week 2 Application Form (11th Apr 2020 - 19th Apr 2020)
IMC 2020 Week 2 will be held over the above dates with travel by coach overnight of the 11th Apr and returning during the day of 19th Apr.  The full cost of the week will be £300.  A non-returnable deposit of £75 is required on application.

Please complete this form in order for your application to be processed.  You will receive a confirmation email once your application form has been validated by your Scout/Explorer Leader.
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Email *
Applicant Name: Surname *
Applicant Name: Forename *
Applicant Date of Birth *
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Applicant Gender *
Home Address *
Post Code *
Applicant:Home Phone No. *
Applicant: Mobile No. *
Group/Troop/Adult (District) *
Scout Membership No. ( Must have if applicant is over 18 at the time of the course)
Applicant or Parent/Guardian/Carer (if applicant under 18) Consent
By reading these statements and giving my email address and name below I give my consent to the following:

a) If it becomes necessary for the above named young person to receive medical treatment and I cannot be contacted to authorise this, I hereby give my general consent to any necessary medical treatment and authorise the Leader(s) in charge to sign any document required by the hospital authorities.

b) Authority to act in "Loco Parentis" particularly in regard to my child's participation in "Adventurous Activities"

c) Images of me/my child to be used for promotional purposes within Scouting.

d) Collection, retention and sharing with the event leaders of my personal details as set out on this application form.

Privacy Notice:
Data collected within this form will be solely used for the administration of the course and future training. All data is kept confidential and only shared with key course staff.  Data will be stored securely in an encrypted environment.

All activities will be run in accordance with the Scout Association's safety rules.  No responsibility for the personal equipment/clothing and effects can be accepted by the organisers and The Scout Association does not provide automatic insurance cover in respect to such items.

Applicant/Parent/Guardian/Carer Email Consent (Please enter your email address) *
Applicant/Parent/Guardian/Carer Name in Full *
Troop/Unit Leader Approval; required for under 18's. Please supply an email address for your child's Scout Troop/Explorer Unit Leader. We will contact them to endorse your application.
Please advise your leader you are applying.
Enter Unit Leader's Name
Enter Unit Leader's email address *
Enter Unit Leader's Scouting position *
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