Activity Form

Group and Leader Details

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

Section
SquirrelsBeaversCubsScoutsExplorersNetworkAdults / Leaders

Leader in Charge Name

Leader in Charge Email

Leader in Charge Phone Number

Activity Details

Activity or Event Title

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

Brief Description

Date

Start Time

End Time

Location and Post Code

Numbers Attending

Number of Adults

Number of Young People

Risk Assessment & Safety

Confirm RA completed
Please selectYesNo

InTouch Name

InTouch Contact Details