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Scouts Speak Up at Party Conference If you would like to come to any of our party conference events, please complete

this short form and return to citizen@scouts.org.uk. Were going to have a blast, do come along. And dont forget there is a 30 travel bursary for young people aged 25 and under.

NAME ADDRESS

POSTCODE TELEPHONE NUMBER EMAIL ADDRESS Unit/group NAME OF SCOUT UNIT/GROUP/ COUNTY DATE OF BIRTH PLEASE INDICATE WHICH CONFERENCE (S) YOU WILL BE ATTENDING: (you are more than welcome to attend as many as you like) Liberal Democrat Labour Conservative Brighton Manchester Birmingham 23 September 2012 30 September 2012 7 October 2012 NAME OF CONSTITUENCY MP NAME OF EMERGENCY CONTACT AND CONTACT NUMBER RELATIONSHIP TO EMERGENCY CONTACT ANY MEDICAL CONDITIONS/ ALLERGIES Scout county

Name

Number

ANY MEDICATION TAKEN

DIETARY REQUIREMENTS

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