County Explorer Coasteering July 2025
Sign up form. Nearer the time we will ask for contact details and medical/ dietry information.
Participant Name
*
First Name
Last Name
Email
*
Confirmation Email
example@example.com
Scout District
*
Please Select
Avonvale
Bromsgrove
Redditch
Ross
South Marches
The Malverns
The Shire
Worcester
Wyre Forest
Contact Address
*
Street Address
Street Address Line 2
City
County
Post code
Your young person must be able to at least swim 50 metres in clothing and equipment appropriate to the activity (this will include a buoyancy aid or life jacket) and keep afloat for five minutes?
*
Yes - they can
No - I understand they wont be able to particpate in the Coasteering Activity
Who and how do we contact in case of an emergency with the particpant parents or carer? Please provide two people and their contact phone numbers.
*
Does the participant have any dietry or medical needs?
*
Does the particpant have any of the following medical issues or diagnosis
*
Allergy
Neurodiverse
Muscle or Skeleton
Mental Health
None
Select Camp using tick box and pay below...
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County Explorer Coastering 2025
Explorer Camp
£
130.00
Payment Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
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