Back

Duke of Edinburgh Registration Form

Young people can complete their Bronze, Silver or Gold Duke of Edinburgh volunteer requirement at the Museum.

To apply please complete the form below. On receipt of your Registration Form our DofE Coordinator will be in touch.

First Name: Required

Surname: Required

Home Address: Required

Telephone No (Day): Required

Telephone No (Evening):

Email Address: Required

Date of Birth: Required

Emergency Contact Details:

Contact Name: Required

Contact Telephone No: Required

Relationship to you: Required

Contact Mobile No: Required

School Contact Details:

School Name Required

School Address Required

School - Telephone Required

DofE Leader Name: Required

Skills and Interests

Parental Consent for Under 16 Year Olds

Parents or adults responsible for young people under 16 years of age participating in a Duke of Edinburgh activity must sign this consent.

I consent to (name of young person) Required

participating in stewarding at Brooklands Museum.

Are there any restricting factors or medication that we should be aware of? Required

Yes

No

If yes, please specify how we can help

Signed (Parent or Guardian) Required

Name (Parent or Guardian) Required

Date Required

By ticking this box I consent to Brooklands Museum processing and storing my data in accordance with the Data Protection Act 2018. Further information on the website Privacy Policy. Required

Check box to agree