Young Leader Volunteer Participant Form

Name: Date of Birth:

Address:

Home Number: Mobile Number:

Email Address:
Shoe Size: Sex: M / F (please circle)
Swimming Ability: (please circle) None Able Confident
Do you agree to the tasting of wild foods? (please circle) YES / NO

Emergency Contact:
Name: Mobile Number:
Home Number: Work Number:
Relationship to you:

Medical Details:
Medical conditions? (eg. Asthma, Diabetes etc)

Are you on any current medication?

Do you have any allergies? (eg. Bee stings, Nuts etc)

Do you agree to the tasting of Wild foods? (please circle) YES / NO

Do you agree for Photos/Videos to be taken? (please circle) YES / NO

Your Signature: Date:

Parent/Guardian Signature (if you’re under 18):

Scottish Charity No: SC034873. Registered Office: Findhorn Village Centre, Church Place, Findhorn, Forres, IV36 3YR.
Registered in Scotland as a Limited Company No: SC251691