First name: Address 1: Last name: Address 2: Date of Birth: Address 3: □ □ Postcode: Gender: Male Female Email: Telephone no (home): Next of kin name: Relationship to next of kin: Next of kin telephone: Consent to enrol from parent or guardian. I agree to my son / daughter / ward doing a DofE programme. I consent/do not consent to photographic images of him/her being used on a not for profit basis solely for promotional purposes. Print Name Signature Date Parent/guardian: I agree to enrol as a participant on a DofE programme. I understand I will be doing the programme using the online system and that I will comply with the terms and conditions which will be available when I access eDofE purposes eDofE. Applicant: Please Return to Year 9 Office by Friday 28th September 2018 For Centre administration only Date registered onto / / eDofE Enrolment Fee received Yes No Username Initial password
First name: Address 1: Last name: Address 2: Date of Birth: Address 3: Gender: Male □ Female □ Postcode: Email: Telephone no (home): Next of kin name: Relationship to next of kin: Next of kin telephone: Consent to enrol from parent or guardian. I agree to my son / daughter / ward doing a DofE programme. I consent/do not consent to photographic images of him/her being used on a not for profit basis solely for promotional purposes. purposes Print Name Signature Date Parent/guardian: I agree to enrol as a participant on a DofE programme. I understand I will be doing the programme using the online eDofE system and that I will comply with the terms and conditions which will be available when I access eDofE. Applicant: Please Return to Year 9 Office by Friday 28th September 2018 For Centre administration only Date registered onto eDofE / / Enrolment Fee received Yes No Username Initial password