NOTIFICATION OF CHIEF SCOUT'S GOLD AWARD
Please complete the details below IN BLOCK CAPITALS and send the form to David Hawkins – CSGA Admin,Flat 4, 84 Guildford Road, Lightwater, Surrey GU18 5RY or email to [email protected].
The information will be used for preparing the certificate and inviting the Scout and Leader to a future CountyChief Scout's Award Presentation of certificates.
Please note that the name entered for the recipient will be the name printed on the Award Certificate.
Certificate Details
First Name:
Surname:
Scout Group:
District:
Date of Award:
Scout’s address for invitationAddress:
Postcode:
Scout’s Telephonenumber:
Scout’s email:
Scout Leader’s address for invitation
Address:
Postcode:
Scout Leader’sTelephone number:
Scout Leader’s email:
Scout Leader’s Name:
Signed (SL)
Signed (ADC)
Date:
Date:
CSGA 2018 001
