DofE Centre and group details (if you know them):
DofE Centre (Guiding County)
Please Select
Anglesey
Cronfa ddwr
Cardiff and East Glamorgan
Caernarfonshire
Carmarthenshire
Ceredigion
Central Glamorgan
Clwyd
Gwent
Meirionnydd
Montgomeryshire
West Glamorgan
Pembrokeshire
DofE group:
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DofE level:
DofE level:
Bronze
Silver
Gold
Have you registered for any previous levels of the DofE?
Yes
No
If YES – please give the name of the DofE Centre you were registered at:
eDofE ID number (if known) :
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Personal details:
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City, town or village
County
Post code
Telephone number
Date of birth
-
Day
-
Month
Year
Date
Primary language
English
Cymraeg
Other
Email address:
example@example.com
Girlguiding Membership Number:
Date you wish to start your DofE programme if known (enrolment date):
-
Day
-
Month
Year
Date
Medical details
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.
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Local leader/ commissioner contact details
By completing this section, you give Girlguiding Cymru permission to email your unit leader or commissioner to inform them that you have enrolled in the DofE scheme. They will be sent an email to approve your application.
Unit leader or local commissioner name
Unit leader or local commissioner email
example@example.com
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Declaration
I agree to enrol as a participant on a DofE programme. I understand that I will be managing my programme using the online eDofE system. I acknowledge that this system has a set of terms and conditions that I agree to. These terms and conditions are available at www.eDofE.org
Type full name
First Name
Middle Name
Last Name
Date
-
Day
-
Month
Year
Date
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Permission
If you are over 18, this will allow you to submit the form. If you are under 18, please enter your parent or carers details. We will then request permission from your parent or carer via email.
Are you over the age of 18
Yes
Are you under the age of 18.
Yes
Please provide parent or carer email. They will be sent an email to approve your application.
example@example.com
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Payment
We recommend that you take a screenshot of this page. The details can also be found here: girlguidingcymru.org.uk/the-duke-of-edinburghs-award
I understand that: Bronze and Silver enrolments are £29 and Gold enrolments are £36: Please make cheque payable to Girlguiding Cymru ensuring the participants name is written on the back or; alternatively payment can be made by Bank Transfer, using the participants name as the reference:
Pay by card (See below)
I will send a cheque
I will send payment by BACS
Sort Code: 40-34-33 Account Number: 91181076
Cheques are to be made payable to Girlguiding Cymru
And posted to: The Coach House, Broneirion, Llandinam, Powys, SY17 5DE
Pay by card
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DofE Registration Bronze fee
£
29.00
DofE Enrollment Silver fee
£
29.00
Quantity
1
2
3
4
5
6
7
8
9
10
DofE Registration Gold fee
£
36.00
Quantity
1
2
3
4
5
6
7
8
9
10
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Print
Submit
Submit
Should be Empty: