Sample Scouting Ireland Youth Membership Form
[Insert Scout Group Name] Youth Membership Application Form Name:____________________________ _________________________________
Parents or Guardian’s Name: _________________________________
Date of Birth: _________________________________
_________________________________
Address:__________________________ _________________________________ _________________________________ _________________________________ _________________________________ ________________________________
Parent or Guardian’s Contact Phone Number: _________________________ _________________________________ Parent or Guardian’s Contact Email:____________________________ _________________________________
I hereby apply through _______________________ Scout Group for membership of Scouting Ireland on behalf of my child. I subscribe to and undertake to further the aims and objectives of Scouting Ireland and to abide by its Rules. Signed (Parent/Guardian)_______________________________ Date:_______________ Print Name: _____________________________________________________________________ Parent(s)/Guardian(s), for my child;● ●
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We/I consent to the above Application and to undertakings given by the Applicant. We/I understand that the personal data on this form will be used by the Scout Group and Scouting Ireland for the purpose of registering (or re-registering), maintaining the Applicant’s Membership, and for communications concerning activities of the Scout Group and Scouting Ireland We/I understand that the Personal Data will be retained by the Scout Group and Scouting Ireland for as long as the applicant remains a member. We/I understand that I/the Applicant can resign their Membership by writing to the Scout Group or Scouting Ireland and all their Personal Data will then be erased, except for a minimum membership record for archival purposes.
Signed_________________________ (Parent/Guardian)
Date:_______________
Print Name:_______________________________________________________________ The completion of this form does not guarantee membership of Scouting Ireland.