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Qui ckTim e? and a
                    dec omp r ss or
                              e
             ar needed to s ee t his p ictur .
              e                            e




                                                                                  QuickTim e? and a
                                                                                   decom pressor
                                                                           are needed to see this picture.




                                                                 Nottinghamshire ACF

                                                         THE DUKE OF EDINBURGH¡¯S AWARD
                                                                                                                                            Q ckTi e? and a
                                                                                                                                             ui   m
                                                                                                                                              decom pr essor
                                                                                                                                    ar e needed t ose et hi pi ct r e.
                                                                                                                                                          s     u




                                                         Application for Enrolment
Please complete form in Block Capitals

Unit:                                                   Detachment:      ¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­..

DofE Group Leader:                                                       ¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­


Name:                                            ¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­

Gender:                                          MALE / FEMALE                               Date of Birth:   ¡­¡­¡­../¡­¡­¡­../19¡­¡­¡­..
Qui ckTim e? and a
                    dec omp r ss or
                              e
             ar needed to s ee t his p ictur .
              e                            e




                                                        QuickTim e? and a
                                                         decom pressor
                                                 are needed to see this picture.




Address: ¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­..
¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­...¡­¡­¡­ Postcode: ¡­¡­¡­¡­¡­¡­¡­¡­¡­

Home Telephone: ¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­ Mobile: ¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­
Email: ¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­..

Do you consider yourself to have a special need? YES / NO
Special Needs:

            Which Level are you applying for:                                                Cost                Please tick
I wish to enter at BRONZE level (minimum age 13yrs 9 mths)                         ?14.00 (already paid for on
Qui ckTim e? and a
                     dec omp r ss or
                               e
              ar needed to s ee t his p ictur .
               e                            e




                                                         QuickTim e? and a
                                                          decom pressor
                                                  are needed to see this picture.




                                                                                    entry to Notts ACF if joined
                                                                                            after Jan 09)
I wish to enter at SILVER level       (minimum age 15 yrs)
I have almost completed Bronze level                                                          ?14.00
I wish to enter at SILVER DIRECT      (minimum age 15 yrs)
I have not completed Bronze                                                                   ?14.00
I wish to enter at GOLD level        (minimum age 16 yrs)
I have/almost completed Silver level                                                          ?20.00
I wish to enter at GOLD DIRECT       (minimum age 16 yrs)                                     ?20.00

   Please hand in the correct money or cheque to your Unit Leader. Cheques should be made payable to:
                                          Nottinghamshire ACF
Qui ckTim e? and a
                  dec omp r ss or
                            e
           ar needed to s ee t his p ictur .
            e                            e




                                                                   QuickTim e? and a
                                                                    decom pressor
                                                            are needed to see this picture.




This section to be completed by Parent/Guardian please
I have read all details and agree to my *son/daughter/ward taking part in the Duke of
Candidate to Sign (*please ¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­..¡­¡­¡­¡­. Date: ¡­¡­¡­¡­¡­..
Edinburgh¡¯s Award here: delete as necessary)

Signed (*Parent/guardian): ¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­. Date: ¡­¡­¡­¡­¡­¡­¡­

                                               Remember to make cheques payable to
                                                     Nottinghamshire ACF
Qui ckTim e? and a
                  dec omp r ss or
                            e
           ar needed to s ee t his p ictur .
            e                            e




                                                                   QuickTim e? and a
                                                                    decom pressor
                                                            are needed to see this picture.




This section to be completed by Parent/Guardian please
I have read all details and agree to my *son/daughter/ward taking part in the Duke of
Candidate to Sign (*please ¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­..¡­¡­¡­¡­. Date: ¡­¡­¡­¡­¡­..
Edinburgh¡¯s Award here: delete as necessary)

Signed (*Parent/guardian): ¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­. Date: ¡­¡­¡­¡­¡­¡­¡­

                                               Remember to make cheques payable to
                                                     Nottinghamshire ACF
Qui ckTim e? and a
                  dec omp r ss or
                            e
           ar needed to s ee t his p ictur .
            e                            e




                                                                   QuickTim e? and a
                                                                    decom pressor
                                                            are needed to see this picture.




This section to be completed by Parent/Guardian please
I have read all details and agree to my *son/daughter/ward taking part in the Duke of
Candidate to Sign (*please ¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­..¡­¡­¡­¡­. Date: ¡­¡­¡­¡­¡­..
Edinburgh¡¯s Award here: delete as necessary)

Signed (*Parent/guardian): ¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­. Date: ¡­¡­¡­¡­¡­¡­¡­

                                               Remember to make cheques payable to
                                                     Nottinghamshire ACF

More Related Content

Notts acf enrolment_form dofe

  • 1. Qui ckTim e? and a dec omp r ss or e ar needed to s ee t his p ictur . e e QuickTim e? and a decom pressor are needed to see this picture. Nottinghamshire ACF THE DUKE OF EDINBURGH¡¯S AWARD Q ckTi e? and a ui m decom pr essor ar e needed t ose et hi pi ct r e. s u Application for Enrolment Please complete form in Block Capitals Unit: Detachment: ¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­.. DofE Group Leader: ¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­ Name: ¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­ Gender: MALE / FEMALE Date of Birth: ¡­¡­¡­../¡­¡­¡­../19¡­¡­¡­..
  • 2. Qui ckTim e? and a dec omp r ss or e ar needed to s ee t his p ictur . e e QuickTim e? and a decom pressor are needed to see this picture. Address: ¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­.. ¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­...¡­¡­¡­ Postcode: ¡­¡­¡­¡­¡­¡­¡­¡­¡­ Home Telephone: ¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­ Mobile: ¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­ Email: ¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­.. Do you consider yourself to have a special need? YES / NO Special Needs: Which Level are you applying for: Cost Please tick I wish to enter at BRONZE level (minimum age 13yrs 9 mths) ?14.00 (already paid for on
  • 3. Qui ckTim e? and a dec omp r ss or e ar needed to s ee t his p ictur . e e QuickTim e? and a decom pressor are needed to see this picture. entry to Notts ACF if joined after Jan 09) I wish to enter at SILVER level (minimum age 15 yrs) I have almost completed Bronze level ?14.00 I wish to enter at SILVER DIRECT (minimum age 15 yrs) I have not completed Bronze ?14.00 I wish to enter at GOLD level (minimum age 16 yrs) I have/almost completed Silver level ?20.00 I wish to enter at GOLD DIRECT (minimum age 16 yrs) ?20.00 Please hand in the correct money or cheque to your Unit Leader. Cheques should be made payable to: Nottinghamshire ACF
  • 4. Qui ckTim e? and a dec omp r ss or e ar needed to s ee t his p ictur . e e QuickTim e? and a decom pressor are needed to see this picture. This section to be completed by Parent/Guardian please I have read all details and agree to my *son/daughter/ward taking part in the Duke of Candidate to Sign (*please ¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­..¡­¡­¡­¡­. Date: ¡­¡­¡­¡­¡­.. Edinburgh¡¯s Award here: delete as necessary) Signed (*Parent/guardian): ¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­. Date: ¡­¡­¡­¡­¡­¡­¡­ Remember to make cheques payable to Nottinghamshire ACF
  • 5. Qui ckTim e? and a dec omp r ss or e ar needed to s ee t his p ictur . e e QuickTim e? and a decom pressor are needed to see this picture. This section to be completed by Parent/Guardian please I have read all details and agree to my *son/daughter/ward taking part in the Duke of Candidate to Sign (*please ¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­..¡­¡­¡­¡­. Date: ¡­¡­¡­¡­¡­.. Edinburgh¡¯s Award here: delete as necessary) Signed (*Parent/guardian): ¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­. Date: ¡­¡­¡­¡­¡­¡­¡­ Remember to make cheques payable to Nottinghamshire ACF
  • 6. Qui ckTim e? and a dec omp r ss or e ar needed to s ee t his p ictur . e e QuickTim e? and a decom pressor are needed to see this picture. This section to be completed by Parent/Guardian please I have read all details and agree to my *son/daughter/ward taking part in the Duke of Candidate to Sign (*please ¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­..¡­¡­¡­¡­. Date: ¡­¡­¡­¡­¡­.. Edinburgh¡¯s Award here: delete as necessary) Signed (*Parent/guardian): ¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­¡­. Date: ¡­¡­¡­¡­¡­¡­¡­ Remember to make cheques payable to Nottinghamshire ACF