Durham Scout County

							Moor House Adventure Centre                                               Ref:________/_________
                                                                          _


N.S.R.A. 177 Air Rifle Course
Weekend 13th/14th November 2010

Application Form                     This form can be found at www.moor-house.org.uk

A .177 course will be held at Moor House on Saturday and Sunday 13th & 14th November 2010. The course duration is 2
days but is not residential. Successful candidates gain the National Governing Body Award Certificate. It is suitable for
anyone over the age of eighteen.
The Course fee is £110 per head;(£125 for non-Durham Scout County Members) this includes your course registration,
venue, literature, instructor costs, certificate and liquid refreshment. Please bring your own packed lunch.




         Name & Address for correspondence
                                                                Please print your name, address and post
                                                                code clearly in the box on the left. This will
                                                                be used for your return correspondence
                                                                using a window envelope.


   Telephone
         Mobile
                                                                                          Only give an address that is in
          E-mail                                                                                       use!

   I prefer to get my correspondence by:                                                   E-Mail         Snail Mail


                                                                Number            Cost                  TOTAL £
                                                                               @ £110 each
   Full Course fee                                                             (£125 non-
                                                                                members)


   Print names of participants clearly below (for certificates)




Please make cheques payable to: Durham Scout County Payments made are non-refundable.
Joining instructions will be sent on receipt of full payment.
Closing date for bookings; 30thOctober 2010 (Durham Scout County will have priority booking until 30th September 2009)

                                               Moor House Adventure Centre
                                                        Rainton Gate
                                                     Houghton-le-Spring
                                                   Tyne & Wear DH4 6QY
                                                www.durhamscouts.org.uk
                                             E-mail: activities@moor-house.org.uk