OUTWARD BOUND TRUST | Simple Life Homes

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Your Information

First name*

Last name*

Are you?* FemaleMaleLet me type my answer

DoB* (Note: You must be 15 at the start of the course.)

Email address*

Address: Street name*

Address: Town*

Address: Postcode*

Telephone number*

Which group shared this application with you?*

I am happy for this company (the company who referred me) to have knowledge of my application* Yes

Please confirm attendance on 14th - 18th April 2025 course if selected. Yes, I will be able to attend

I would be interested in the Summer Adventures (If selected you consent to Simple Life giving your details to the Outward Bound Trust to confirm a start date / location and duration.) Yes

Please tick both options if you have availability for the April dates, but would also be interested in the Summer Adventures.

Tell us why you would like to take part in this course and what you feel you will gain?* (max 150 words please) 150 words left

Tell us anything else about you that you feel may be relevant.

Parent / Guardian Information

Parent / Guardian first name*

Parent / Guardian last name*

Parent / Guardian title*

Parent / Guardian email address*

Parent / Guardian telephone number*

If accepted onto the course you will need to consider how you will travel to and from the centre for the course at The Outward Bound Trust, Ullswater Centre, Penrith. Support and guidance in this planning will be available. Tell us how you might raise the necessary funds and travel to the centre.*

If selected you will need to attend a pre-course meeting in Manchester. Please confirm you are happy to do so. Details closer to the time.* Yes I am happy to do so

Participation requires you to commit to sharing your experience upon completion so others can learn about the course. This can be in a form of your choice, a short film, a report, a blog, a booklet, a presentation. Both Outward Bound Trust, Simple Life Homes, parent and partner companies will have in perpetuity rights to use this content. Please confirm you agree to this post-course exercise.* Yes I agree

Parent / Guardian ‘digital’ signature – all information in this form is true to my knowledge.*