Activity Intention Form Please fill in this form to declare your intention to lead a Scouting Activity. A copy will be sent to your Section and Group Leaders for approval, and a copy to yourself for your records. Activity Name..... Scout Group...... Region............... Numbers: Keas....... Cubs...... Scouts.... Venturers. Rovers..... Leaders... Others..... Activity Short Description Activity Detailed Description Activity Type - Low Risk Group EventZone EventRegion EventNational EventPicnicWalkVisit to TownVisit a GroupOther Activity Type - High Risk AbseilingAir ActivityCampingCavingDay HikePatrol ActivityTrampingWater ActivityOther Activity Details Location of the activity Start Time Start Date Return Time Return Date Contact Details and Emergency Procedure Group Leader Email Address Section Leader Email Address Activity Leader Name Age Address Email Address. Home Phone... Work Phone.... Cell Phone...... Emergency Contact Name Address Email Address. Home Phone... Work Phone.... Cell Phone...... Emergency Procedure The emergency contact is to inform the Group Leader and the Police if the party has not made contact by: Time Date Approvals Signature Field - please sign with a mouse or touch screen Date:
