QuickTimeTM and a decompressor are needed to see this picture. The document is an enrollment form for the Duke of Edinburgh's Award, where a participant can enroll at Bronze, Silver, or Gold level. It requires signatures from both the participant and parent/guardian to agree to taking part.

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Nottinghamshire ACF
THE DUKE OF EDINBURGH’S AWARD
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Application for Enrolment
Please complete form in Block Capitals
Unit: Detachment: …………………………………………………………..
DofE Group Leader: ……………………………………………………………
Name: ……………………………………………………………………………………………………
Gender: MALE / FEMALE Date of Birth: ………../………../19………..

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Address: ………………………………………………………………………………………………..
…………………………………………………………...……… Postcode: ………………………
Home Telephone: …………………………… Mobile: ……………………………………………
Email: …………………………………………………………………………..
Do you consider yourself to have a special need? YES / NO
Special Needs:
Which Level are you applying for: Cost Please tick
I wish to enter at BRONZE level (minimum age 13yrs 9 mths) £14.00 (already paid for on

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entry to Notts ACF if joined
after Jan 09)
I wish to enter at SILVER level (minimum age 15 yrs)
I have almost completed Bronze level £14.00
I wish to enter at SILVER DIRECT (minimum age 15 yrs)
I have not completed Bronze £14.00
I wish to enter at GOLD level (minimum age 16 yrs)
I have/almost completed Silver level £20.00
I wish to enter at GOLD DIRECT (minimum age 16 yrs) £20.00
Please hand in the correct money or cheque to your Unit Leader. Cheques should be made payable to:
Nottinghamshire ACF

4. Qui ckTim e™ and a
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This section to be completed by Parent/Guardian please
I have read all details and agree to my *son/daughter/ward taking part in the Duke of
Candidate to Sign (*please …………………………………..…………. Date: ……………..
Edinburgh’s Award here: delete as necessary)
Signed (*Parent/guardian): ………………………………………. Date: …………………
Remember to make cheques payable to
Nottinghamshire ACF

5. Qui ckTim e™ and a
dec omp r ss or
e
ar needed to s ee t his p ictur .
e e
QuickTim e™ and a
decom pressor
are needed to see this picture.
This section to be completed by Parent/Guardian please
I have read all details and agree to my *son/daughter/ward taking part in the Duke of
Candidate to Sign (*please …………………………………..…………. Date: ……………..
Edinburgh’s Award here: delete as necessary)
Signed (*Parent/guardian): ………………………………………. Date: …………………
Remember to make cheques payable to
Nottinghamshire ACF

6. Qui ckTim e™ and a
dec omp r ss or
e
ar needed to s ee t his p ictur .
e e
QuickTim e™ and a
decom pressor
are needed to see this picture.
This section to be completed by Parent/Guardian please
I have read all details and agree to my *son/daughter/ward taking part in the Duke of
Candidate to Sign (*please …………………………………..…………. Date: ……………..
Edinburgh’s Award here: delete as necessary)
Signed (*Parent/guardian): ………………………………………. Date: …………………
Remember to make cheques payable to
Nottinghamshire ACF