Information you'll need before filling out this form

The form seems a little bit long but most of the information is the kind you'll know off the top of your head so it hopefully won't take too long.

You need to fill the form in in one go (you can't save and come back) so you'll probably want to ensure you know the following before you start:

  • The contact details of your emergency contact for the week
  • The contact details for your GP and NHS number (if known)
  • How you are going to pay your Camp Fees - read our Camp Fees page here
  • Whether you will need a Disclosure and Barring Service Check (DBS Check) specifically for Pioneer II - read the info on DBS and references here
  • Whether you will need references to come to Pioneer II and if so, their contact details - read the info on references at the above link

(Returning volunteers, if you're wondering why we ask you the same info every year, firstly we have to make sure we are working with accurate info every year. Secondly, under the Data Protection Act we have to delete/destroy all data other than your contact details after every camp.)

Application Form

Personal Details
Name *
Name
Date of Birth *
Date of Birth
Emergency Contact Details
During the camp week)
Medical Information
Date of last Tetanus injection
Date of last Tetanus injection
(if known)
if known
During the week
Please tick here if you wish to come to Pioneer 2 for part of your D of E Gold award
Camp runs 1400, Sat 18th August – 1200, Sat 25th August 2018
Tents can be provided but you may have to share
Additional skills
(I.E: running an activity like archery or playing an instrument)
Please email us a copy of your life-guarding qualification - pioneertwo@gmail.com
Your Personal Information
After camp, a contact list may be circulated so you can keep in touch if you wish to. Please tick where appropriate which details, if any, you are happy to be included on the list
Our website is primarily to recruit volunteers, campers and to raise funds. We will only use your image to promote Pioneeer II or Woodlarks campsite.
Disclosure and Barring Service (DBS) check - all helpers over the age of 16 are required to have a DBS Check
Please tick this box to indicate that you are aware of this condition and are happy for your contact details to be forwarded to our DBS officers, Abbi Denman and Tenia Finlayson, who will contact you about your DBS status in due time *
Please read our DBS information page if you're not sure if you can use your existing DBS/CRB Check (the link is at the top of this page)
References
Name of Second Referee
Name of Second Referee
Payment of camp fees

How to Pay Camp Fees

We charge the same camp fees for Campers and Volunteers.  This year camp fees are £140 for the full week. This includes - accommodation, food, and entertainment!

You can pay your camp fees in one of three ways:

  • Pay cash on the first day of camp
  • Pay via bank transfer, details below
  • Pay via cheque, details below

To pay via bank transfer, our account details are:

  • Account number 01064103

  • Sort code 30-93-20

  • Please make your bank reference include your surname and the word 'fees'

To pay via cheque:

  • Please make the cheque out to 'Pioneer Two'
  • Please post it to:  Cassandra Simpson,  184 Market Street, Eastleigh, Southampton, Hampshire, SO50 5PT