Form title

Many thanks for your interest in joining Explorer Scouts! To further your application, please provide us with information by filling out the form below.

indicates a required field. Maximum number of characters for most input fields is 100.

Which Unit(s) would you like to join? (You may tick more than one).
Click here for details of our units.

UnitPreference

Date / Term you would like to start:

Young Person's Details:

First Name:

Last Name:

Gender

Address Line 1:

Address Line 2:

Address Line 3:

City:

Postcode:

Date of birth:

Email:

Telephone:

Mobile:

Ethnic Origin (optional):

Already a member of Scouts?

If yes, which Troop?

Already a member of Guides?

Helper at Beavers or Cubs?

If yes, which Group?

Registered for the Duke of Edinburgh award?

Any long term health issues?

Maximum 500 characters, 500 characters remaining

Any other details (e.g. if you want to join with friends)?

Maximum 500 characters, 500 characters remaining

Parent / Emergency Contact Details:

First Name:

Last Name:

Telephone:

Mobile:

Email: