17th Dalkey Scouts Youth Membership Application Form

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One application per person

Further details are available here and if you have any queries please contact info@dalkeyscouts.ie

Name *

First and last name

Date of Birth *

YYYY

Gender *

Male

Female

Section
*

Beavers (Age 6-8)

Cubs (Age 9-11)

Scouts (Age 12-15)

Postal Address *

Parent or Guardian's Name *

First and last name

Parent or Guardian's Email *

Parent or Guardian's Phone Number *

Siblings Currently Members (or Applying)

First and last name

Parent or Guardian's Consent to *

Apply through 17th Dalkey Scout Group for membership of Scouting Ireland on behalf of my child

Subscribe to and undertake to further the aims and objectives of Scouting Ireland and to abide by its Rules

Understand that the personal data on this form will be used by the Scout Group and Scouting Ireland for the purpose of registering (or re-registering), maintaining the Applicant’s Membership, and for communications concerning activities of the Scout Group and Scouting Ireland

Understand that the Personal Data will be retained by the Scout Group and Scouting Ireland for as long as the applicant remains a member.

Understand that I/the Applicant can resign their Membership by writing to the Scout Group or Scouting Ireland and all their Personal Data will then be erased, except for a minimum membership record for archival purposes.

Required

Parent or Guardian's interest in becoming a trained and active 17th Dalkey Scout Group adult leader *

Note: Active leaders get priority for placing children

Yes

Current Leader

Any additional information or special needs or requirements that you would like to provide

What school do they attend?

Submit

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