Name of Scout that would like to attend Seething Summer Camp

Parent/Guardian Name

Please confirm emergency contact number

Anything we should be aware of whilst your child is camping with us that you have not previous stated on your yearly medical form?

Would your Scout like to take part in an air experience flight whilst at Seething Camp?
---YesNo

If so, please enter your address here

And their weight here

By clicking send, you are virtually 'signing' this letter to agree to the above, however we will still require a physical signature upon arrival at camp if your Scout would like to fly

Please enter the 4 characters you see in the above picture in the below box: