Sir Henry Floyd Grammar School
The Duke of Edinburgh’s Award
Bronze Award Scheme: 2015-2016
Enrolment Form
DofE Group
Participant Details
Sir Henry Floyd Grammar School Bronze Award Tutor Group
Forename
Surname
Date of Birth
Gender
Male/Female
Home Address
Postcode
Home Telephone
Personal Mobile
Award Scheme Fee: £90.00.
Payment to be made by ParentMail.
I declare that I have read, understand and accept the DofE Presentation, DofE Launch Letter,
DofE Scheme Information and DofE Calendar. I have paid the Award Scheme Fee in full. I apply
to be enrolled on the Duke of Edinburgh's Award Bronze Award Scheme at Sir Henry Floyd
Grammar School:
Application
Signature of
Applicant
Email Address of
Applicant
Date
I declare that I have read, understand and accept the DofE Presentation, DofE Launch Letter,
DofE Scheme Information and DofE Calendar. I give permission for the above participant to be
enrolled on the Duke of Edinburgh's Award Bronze Award Scheme at Sir Henry Floyd Grammar
School:
Consent
Name of Parent/
Guardian
Signature of
Date
Parent/Guardian
Email Address of
Parent/Guardian
From time to time we may photograph the activities undertaken by participants and use these
images for displays, in publicity material and in newspapers or journals. If you do not wish your
child to be included, please indicate by ticking the box. It is our policy not to name children
without the express written consent of a parent/guardian.
I do not consent for images of my child to be used
Please make payment for the Award Scheme Fee and return this completed form to
the Finance Office by no later than 12:00 on the day of the first Focus Meeting.
The final deadline for enrolment is 14:00 on Friday 23 October 2015.