Activity Notification (AN) Form

For all activities when away from the Scout Hall. Note: Not required for areas directly adjacent to Scout Premises.

To be completed in full and submitted to the District Commissioner, a copy to your GSL and relevant ADC/DESC*, seven days before the event.

* A copy is automatically sent to the DC, your GSL/DESC and to the relevant ADC when the form is submitted.

DATA PROTECTION: This form is used to collect information about you and your team, this is to be used by your District Team. As part of this form we collect personal data about you and your team, this detail is required so that we can check that everyone meets the membership and vetting requirements for the event and that appropriate permit holders are in place. We do not share your personal data provided in this form with any third parties. We take your personal data privacy seriously. The data you provide to us is securely stored (based on local arrangements) and we will keep the data we capture from this form for 2 months after the event for any queries that arise then it will be securely destroyed.

Venue / Event*

Venue Phone Number

Area CodePhone Number

Venue / Event Address

Event Leader*

First NameLast Name

Group/ESU/Unit (only select District when instructed to do so)*

Explorer Scout Unit (ESU)*

Section*

If your Group has more then one Drey/Colony/Pack/Troop please state names in Additional Relevant Information below

Your E-mail*

Your Phone Number

Area CodePhone Number

Event Date:*

DayMonthYear

From:*

:HourMinutesAM/PM Option

To:*

:HourMinutesAM/PM Option

Numbers: If no members are attending from a section then enter 0 (do not leave blank)

Squirrels*

Beavers*

Cubs*

Scouts*

Explorers*

Include Young Leaders

Adults*

Do all Leaders & Adult helpers have current Safety/Safeguarding & DBS Clearance where appropriate*

YesNo

Type of Event (eg hike, wide game, visit,etc .)*

Special Activities (i.e. Those requiring authorisation)

Permit Holder (for Special Activities)

First NameLast Name

InTouch / Home Contact

First NameLast Name

Address / InTouch Details*

Include Name/s and Contact Numbers

InTouch E-mail

InTouch Mobile Number

Area CodePhone Number

InTouch Phone Number

Area CodePhone Number

Additional Relevant Information:

Tick to confirm that your Group/Unit have an approved COVID-19 Risk Assessment for the Venue and the Activity has been Risk Assessed and does not compromise your COVID-19 approval.

YesN/A - Dstrict Event

Revised / Re-submitted AN - Tick if this is a revised AN for a previously submitted one?

Yes Revised / Re-submitted AN

Enter the message as it's shown*

Event Details

PLEASE NOTE that after selecting the SUBMIT button there may be a delay before the ‘Thank You’ page appears.