Activity Form

Activity Notification

Please use this form to notify the District Lead Volunteers of activities taking place away from your usual meeting place, or running on a different day/time than usual.

Group
10th Scunthorpe16th Scunthorpe1st & 2nd Brigg1st Belton & Epworth1st Broughton1st Goxhill & Barrow upon Humber1st Hibaldstow & Scawby1st Kirton4th Ashby5th Ashby6th Scunthorpe (Messingham)WintertonZ_District Event

Section
SquirrelsBeaversCubsScoutsExplorersNetworkAdults / Leaders

Leader in charge (name)

Leader email

Leader mobile number

Activity / event title

Activity type
Meeting (off-site)Day activityHike / WalkWater activityClimbing / AerialCyclingCamp (Nights Away)Visit / TourOther

Brief description of the activity

Date

Start time

End time

Location / venue name

Full address (including postcode)

What3Words (optional)

Number of young people attending

Number of adults attending

Total attending (optional)

Any additional support needs / inclusion notes (optional)

Transport arrangements
WalkingParents drop-off/collectMinibusPrivate carsPublic transportOther

If using vehicles, who is driving? (optional)

Meeting point / drop-off instructions (optional)

Risk assessment completed?
Please selectYesNo

Link to risk assessment (if stored online) (Leave blank if you don't have a link)

If not online, where is it stored? (optional)

Nights Away Permit / NAN reference (if applicable)

Permit holder name (if applicable)

Emergency contact / home contact name

Emergency contact number

Nearest hospital / emergency plan notes (optional)

Anything else the District should know? (optional)

I confirm the information above is accurate and the relevant risk assessment and approvals have been completed.