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Western District

Supporting grassroots Scouting throughout the District

If you wish to gain a permit to lead Nights Away events, please fill in this form and send it to a Nights Away Adviser. Nights Away Advisers can be found through your District Commissioner (or County Commissioner for thos with a County appointment).

A - Personal Details

* First Name:
* Surname:
* Email:
Home Tel No.:
Work Tel No.:
Mobile Tel No.:
* Date of Birth:
Membership No:
* Address:
Health Factors:
(things that may affect running Nights Away events)
* District / County:
DC or CC Name:
DC or CC Tel. No.:



B - Activity Details

Permit Applied For:
Any Restrictions Wanted:

(E.g. Site specific, group sizes, geographic, conditions, etc.)



C - Renewal Details

If you are applying for a permit exactly the same as one you currently have, or as one that has just expired, please give details here. You will be required to show proof of this permit when you meet with the NAA.

Activity Permit:
Expiry Date:
Restrictions:

(E.g. Site specific, group sizes, geographic, conditions, etc.)



D - Experience Details

Please list any relevant training courses attended and nights away events that you have been involved in running or organising.

* Date:
Event:
Role:
Brief Details:

(E.g. Site specific, group sizes, geographic, conditions, etc.)
Date:
Event:
Role:
Brief Details:
Date:
Event:
Role:
Brief Details:
Date:
Event:
Role:
Brief Details:

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Western District
Sheffield Scout HQ, 1 High Street, City Centre, Sheffield, S1 1AA
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