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Petworth & Pulborough Scout District

Building #SkillsforLife in West Sussex

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:
* Address:
Health Factors:
(things that may affect running Nights Away events)
* District / County:
Tel. No.:
DC or CC Name:



B - Permit Type 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.

Permit Type:
Expiry Date:
Any Restrictions Wanted:

(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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Petworth & Pulborough Scout District
West Sussex County Scouts, Lodge Hill, London Road, Watersfield, Pulborough, West Sussex, RH20 1LZ
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