Scottish Gymnastics PVG de-link form
This form should be completed by an individual when they leave a regulated role at a Scottish Gymnastics registered club. Do not complete this form if you intend on working with another club in the near future.
Your Name
*
First Name
Last Name
Date of birth
*
-
Month
-
Day
Year
Date
E-mail for individual
*
example@example.com
E-mail of safeguarding officer for club
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Disclosure Scotland membership number
*
this is your membership number and should be 16 digits, this is NOT the individual disclosure number which starts with 3000
Which club are you no longer working with?
*
Role in club
*
SG membership number
*
Today's date
*
-
Month
-
Day
Year
Date
Will you continue to work/volunteer with another Scottish Gymnastics registered club?
No - Scottish Gymnastics should be removed from my PVG scheme record.
Yes - Please provide the name(s) of the club(s) below:
Additional comments
Submit
Should be Empty: