EmailMe Form - DofE Participant Enrolment Form

Students Name *

First Last

DOB *

DD / MM / YYYY

House no/name *

Street Name *

Post Code *

Participants Email address *

Parents email address *

Parents mobile phone no. *

GDPR *

I give consent

I do not want to be contacted

By ticking the boxes below you are giving us permission to contact you by email & SMS. Please tick all boxes that you agree to.
We will not pass on your contact details to any 3rd Party

When you first sign in to eDofE you will be asked to record some personal details such as your contact details, ethnicity and personal circumstances along with details of any medical needs you may have. This data is used to enable your Leaders to support you doing your DofE programme and for the DofE’s statistical and reporting purposes. You will always have a ‘prefer not to say’ option.

Which School do you go to *

Campsmount

Ridgewood

Has your son /daughter completed a previous level of the Award - if so which one?

Bronze

Silver

Select the level of Award you want to start *

Bronze

Silver

Gold

Direct Gold

For Gold you must be 16 to start any activity - as soon as you turn 16 we will register you.

Consent to enrol from parent or guardian (if applicant is under 18 years old).

I agree to my son / daughter / ward doing a DofE programme. I note that it is my responsibility to check that any activity my son / daughter / ward undertakes for their DofE programme is appropriately managed and insured, unless the activity is directly managed or organised by their DofE group, centre or Licensed Organisation.

I AGREE/DO NOT AGREE to my son / daughters photograph and name being used on displays, newsletters and publicity materials and on the PRIVATE Facebook Parents Group. *

Agree

Do Not Agree

NOTE

Note:
Data supplied on this form and in eDofE and information about DofE activities recorded in eDofE will be used by the DofE Charity, the Licensed Organisation and DofE centre to monitor and manage DofE participation and progress by young people and manage and support Leaders.

The DofE Charity will use personal data to communicate useful and relevant information to either help participants complete a DofE programme, Leaders/LOs to run DofE programmes more effectively or help the DofE Charity to improve the quality and breadth of its programmes.

DofE also send emails that contain information about the Charity, DofE negotiated privileged discounts and invites to events and other activities however if you would like to receive these emails you will need to opt in. Once you have opted-in to this you can opt out at any time by visiting www.dofe.org/preferences, or clicking the unsubscribe link that can be found at the bottom of all non-programme related email

The cost to enrol at either Campsmount or Ridgewood will be £35.00 and this applies to all 3 levels. This cost includes an administration fee. For further details please see our website www.candrdofegroup.com. This fee will be collected via Stripe at the end of this form

Enrolment Fee of £35.00 *

I wish to enrol my son / daughter onto the DofE Programme and agree to pay the £35.00

By ticking this box you are undertaking to enrol your son / daughter on the Duke of Edinburgh's Award Scheme. Once you child has been enrolled you will not be able to have a reimbursement of this fee should they decide not to carry on with the Award.

Direct Debit Confirmation

This is my first time enrolling and I do not have a Direct Debit currently set up but would like to set one up

I am happy for you to use the existing Mandate

Please cancel my Direct Debit Mandate

I will be paying in Full

Signature *

Clear