Girlguiding Climbing and Abseiling Scheme:
Renewal Form
Instructor’s name:
Country/Region and County: Membership number:
If you do not have a Girlguiding membership number, please provide the following:
Address:
Postcode:
Telephone: Email:
Qualification being renewed (please tick):
Level 1 Level 2
Date climbing qualification gained or last renewed: Date first aid qualification expires:
Please include the following with this form.
# Log of the climbs you have taken part in or instructed in the last three years.
# Copy of an up-to-date first aid certificate (minimum six-hour training).
I am familiar with the requirements of the Girlguiding Climbing and Abseiling Scheme and agree to
comply with the rules and procedures contained in the scheme.
Signature: Date:
Confirmation of renewal of qualification (to be completed by the Girlguiding Climbing Technical
Adviser).
Climbing qualification (please tick):
Level 1 Level 2
Date qualification renewed: Date qualification will expire:
If qualification not renewed, please state the reasons why in the space below.
Signature:
Name: Date:
Qualification(s): MLUK no:
Please email this form, with a copy of your logbook and valid first aid certificate, to:
outdooractivities@girlguiding.org.uk, or post it to Leadership Development, Girlguiding,
17–19 Buckingham Palace Road, London SW1W 0PT.
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