Download song (mp3 format)
   
scout.org
apr.scout.or.jp
scouting2007.org
   
   


   
 
Personal data
  Name-Surname Gender
  Date of Birth (dd/mm/yy) Age
  Postal address
  Tel    
  Fax    
  E-mail    

Contact person in case of emergency
  Name-Surname Gender
  Date of Birth (dd/mm/yy) Age
  Postal address
  Tel    
  Fax    
  E-mail    
  Relationship with the participant



Special Foods

  Do you have any special food requirements for medical, religious or other reasons?
  Special foods required
  Foods you must not eat (please specify)


Special Health problem

  Do you have any of illness in the following :
  Heart disease Haemophilia
  Hay fever Asthma
  Diabetic Epileptic
  Rheumatic fever Sleep Walking
  Fainting Autism
  Any other Allergies
  Any physical disability
  Others (please specify)